Lake Dentistry, Llc is a Dental Clinic in St. Matthews, South Carolina. It is located at 735 Raysor Drive, St. Matthews, SC and its contact number is 803-874-2243. The authorized person for Lake Dentistry, Llc is Dr. Clarence R Lake
who is Partner of the clinic and their contact number is 803-874-2243. Lake Dentistry, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Lake Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Dentistry, Llc
Specialization:
General Practice Dentistry
Clinic Address:
735 Raysor Drive, St. Matthews, South Carolina, 29135
Phone:
803-874-2243
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:
Dr. Clarence R Lake
Position:
Partner
Contact Number:
803-874-2243
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 Dentistry, Llc clinic are as mentioned below.
NPI Number:
1376608992
NPI Enumeration Date:
26 Dec, 2006
NPI Last Update On:
10 Jan, 2008
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 Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
South Carolina
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
ZA9868
Medicaid
South Carolina
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 Dentistry, Llc 735 Raysor Drive, St. Matthews, South Carolina
Zip:
29135
Phone Number:
803-874-2243
Patients can reach Lake Dentistry, Llc at 735 Raysor Drive, St. Matthews, South Carolina or can call to book an appointment on 803-874-2243. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.