Active NPIIndividual providerSole proprietor

Steven C Lakes

Dentist in Colchester, Connecticut

NPI Number1376639963
Practice location
151 Broadway, Colchester, CT 06415
Fax
860-537-6648
Last updated
July 8, 2007

Steven Charrles Lakes is a Dentist based in Colchester, CT. Steven Charrles Lakes practices in Colchester, CT. The NPI Number for Steven Charrles Lakes is 1376639963 and holds a License No. 5290 (CT). The current practice location address for Steven Charrles Lakes is 151 Broadway, Colchester, CT 06415 and can be reached out via phone at 860-537-1444 and via fax at 860-537-6648.

Provider Profile Details

NPI Number
1376639963
Provider Name
Steven Charrles Lakes
Provider Entity Type
Individual
Gender
Male
Address
151 Broadway, Colchester, CT 06415
Phone Number
860-537-1444
Fax Number
860-537-6648
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Broadway
Colchester, CT 06415
Zip
06415
Phone Number
860-537-1444
Fax Number
860-537-6648
Colchester, CT 06415Get directions →

Provider Business Mailing Address Details

Address
P.o Box 166
Colchester, CT 06415
City
Colchester
State
CT
Zip
06415
Phone Number
860-537-1444
Fax Number
860-537-6648

License Information

License Number
5290
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Steven C Lakes?

The NPI number of Steven C Lakes is 1376639963. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Steven C Lakes?

Steven C Lakes is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 5290.

Where does Steven C Lakes practice?

The practice location is 151 Broadway, Colchester, CT 06415. The office can be reached at 860-537-1444 (phone) or 860-537-6648 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376639963 directly on the NPPES registry website.

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