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Dr. John Campbell Lake JR., DMD
General Practice Dentistry in Newberry, South Carolina
NPI 1215263017

John Campbell Lake JR. is a General Practice Dentistry based in Newberry, SC and is specialized in General Practice. John Campbell Lake JR. practices in Newberry, SC and has the professional credentials of DMD. The NPI Number for John Campbell Lake JR. is 1215263017 and holds a License No. 4593 (South Carolina).

The current practice location address for John Campbell Lake JR. is 2706 Main St, Newberry, SC and can be reached out via phone at 803-276-2090.

Location: 2706 Main St, Newberry, SC, 29108-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215263017
Provider Name
John Campbell Lake JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2706 Main St, Newberry, SC, 29108-4004
Phone Number
803-276-2090
Fax Number
Provider Enumeration Date
10/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX4593 05 SC
institution
Provider Business Practice Location Address Details
Address
2706 Main St
City
Newberry
State
South Carolina
Zip
29108-4004
Phone Number
803-276-2090
Fax Number
person
Provider Business Mailing Address Details
Address
2706 Main St
City
Newberry
State
South Carolina
Zip
29108-4004
Phone Number
803-276-2090
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4593 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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