Mark S. Lake, D.D.S.

General Practice Dentistry · Osage Beach, MO

Individual Active NPI

NPI number 1356479539

Practice location

1037 Palisades Blvd
Ste 9
Osage Beach, MO 65065-3340
Phone
(573) 348-9888
Fax
(573) 348-9894

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NPI record

NPI
1356479539
Entity type
Individual (Type 1)
Enumeration date
March 1, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2006014707 MO

About Dr. Lake

Mark S. Lake, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1037 Palisades Blvd, Ste 9, Osage Beach, MO 65065-3340. The NPI number 1356479539 was assigned on March 1, 2007 and the record was last updated on July 8, 2007.

Dr. Lake lists a license in the registry: #2006014707 (MO) 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 Mark S. Lake, D.D.S.?

The NPI number is 1356479539.

What is the phone number of Dr. Lake?

The phone number listed for the practice location is (573) 348-9888.

Where is Dr. Lake located?

1037 Palisades Blvd, Ste 9, Osage Beach, MO 65065-3340.

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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