Active NPIIndividual provider

Ruby J Lake

Dentist in Frederiksted, U.S. Virgin Islands

NPI Number1487907192
Practice location
16 Strand Street, Frederiksted, VI 00840
Fax
340-772-1616
Last updated
October 18, 2012

Ruby J Lake is a Dentist based in Frederiksted, VI. Ruby J Lake practices in Frederiksted, VI. The NPI Number for Ruby J Lake is 1487907192 and holds a License No. 708 (VI). The current practice location address for Ruby J Lake is 16 Strand Street, Frederiksted, VI 00840 and can be reached out via phone at 340-772-1616 and via fax at 340-772-1616.

Provider Profile Details

NPI Number
1487907192
Provider Name
Ruby J Lake
Provider Entity Type
Individual
Gender
Female
Address
16 Strand Street, Frederiksted, VI 00840
Phone Number
340-772-1616
Fax Number
340-772-1616
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2012
Last Update Date
October 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Strand Street
Frederiksted, VI 00840
Zip
00840
Phone Number
340-772-1616
Fax Number
340-772-1616
Frederiksted, VI 00840Get directions →

Provider Business Mailing Address Details

Address
414 Strand Street
Frederiksted, VI 00840
City
Frederiksted
State
VI
Zip
00840
Phone Number
340-772-1616
Fax Number
340-772-1616

License Information

License Number
708
License State
VI
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 Ruby J Lake?

The NPI number of Ruby J Lake is 1487907192. It was assigned on October 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Ruby J Lake?

Ruby J Lake is registered under the primary taxonomy Dentist (code 122300000X), licensed in VI under license number 708.

Where does Ruby J Lake practice?

The practice location is 16 Strand Street, Frederiksted, VI 00840. The office can be reached at 340-772-1616 (phone) or 340-772-1616 (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 1487907192 directly on the NPPES registry website.

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