Ryan J. Lake, D.M.D.

General Practice Dentistry · Clark, NJ

Individual Active NPI

NPI number 1356462733

Practice location

246 Westfield Ave
Clark, NJ 07066-1537
Phone
(732) 381-8231
Fax
(732) 381-8056

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NPI record

NPI
1356462733
Entity type
Individual (Type 1)
Enumeration date
April 3, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22DI01957300 NJ

About Dr. Lake

Ryan J. Lake, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 246 Westfield Ave, Clark, NJ 07066-1537. The NPI number 1356462733 was assigned on April 3, 2007 and the record was last updated on July 8, 2007.

Dr. Lake lists a license in the registry: #22DI01957300 (NJ) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan J. Lake, D.M.D.?

The NPI number is 1356462733.

What is the phone number of Dr. Lake?

The phone number listed for the practice location is (732) 381-8231.

Where is Dr. Lake located?

246 Westfield Ave, Clark, NJ 07066-1537.

What is the taxonomy code for Dr. Lake?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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