Active NPIIndividual provider

Dr. John R Lake Jr., DDS

Dentist in Osterville, Massachusetts

NPI Number1952326027
Practice location
1322 Main St, Osterville, MA 02655-1542
Fax
—
Last updated
May 26, 2015

John Roger Lake is a Dentist based in Osterville, MA. John Roger Lake practices in Osterville, MA and has the professional credentials of DDS. The NPI Number for John Roger Lake is 1952326027 and holds a License No. 14541 (MA). The current practice location address for John Roger Lake is 1322 Main St, Osterville, MA 02655-1542 and can be reached out via phone at 508-428-4929.

Provider Profile Details

NPI Number
1952326027
Provider Name
John Roger Lake
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1322 Main St, Osterville, MA 02655-1542
Phone Number
508-428-4929
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2006
Last Update Date
May 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1322 Main St
Osterville, MA 02655-1542
Zip
02655-1542
Phone Number
508-428-4929
Osterville, MA 02655Get directions →

Provider Business Mailing Address Details

Address
1322 Main St
Osterville, MA 02655-1542
City
Osterville
State
MA
Zip
02655-1542
Phone Number
508-428-4929

License Information

License Number
14541
License State
MA
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 Dr. John R Lake Jr., DDS?

The NPI number of Dr. John R Lake Jr., DDS is 1952326027. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John R Lake Jr., DDS?

Dr. John R Lake Jr., DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 14541.

Where does Dr. John R Lake Jr., DDS practice?

The practice location is 1322 Main St, Osterville, MA 02655-1542. The office can be reached at 508-428-4929 (phone).

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 1952326027 directly on the NPPES registry website.

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