Lake Dental Group is a Dental Clinic in Racine, Wisconsin. It is located at 400 Lake Ave, Racine, WI and its contact number is 262-633-0775. The authorized person for Lake Dental Group is Ms. Lilly Poole
who is Office Manager of the clinic and their contact number is 262-633-0775. Lake Dental Group Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Lake Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Dental Group
Specialization:
Dentistry
Clinic Address:
400 Lake Ave, Racine, Wisconsin, 53403-1020
Phone:
262-633-0775
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Lilly Poole
Position:
Office Manager
Contact Number:
262-633-0775
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Lake Dental Group clinic are as mentioned below.
NPI Number:
1922314210
NPI Enumeration Date:
24 Aug, 2010
NPI Last Update On:
24 Aug, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Dental Group are as mentioned below.
Specialization
License Number
State
Status
Dentist
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33605400
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lake Dental Group 400 Lake Ave, Racine, Wisconsin
Zip:
53403-1020
Phone Number:
262-633-0775
Patients can reach Lake Dental Group at 400 Lake Ave, Racine, Wisconsin or can call to book an appointment on 262-633-0775. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.