Lake Dentistry Llc is a Dental Clinic in St. Matthews, South Carolina. It is located at 735 Harry C. Raysor Drive, St. Matthews, SC and its contact number is 803-874-2243. The authorized person for Lake Dentistry Llc is Dr. Clarence Roberts Lake
who is Owner of the clinic and their contact number is 803-874-2243. The primary license number for Lake Dentistry Llc is 02808 (Dentist) in South Carolina.
Lake Dentistry Llc 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 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: | Dentistry |
| Clinic Address: | 735 Harry C. Raysor Drive, St. Matthews,
South Carolina, 29135-0237 |
| 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 Roberts Lake |
| Position: | Owner |
| 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: | 1699959528 |
| NPI Enumeration Date: | 27 Dec, 2007 |
| NPI Last Update On: | 27 Dec, 2007 |
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 | |
| Dentist | 02808 | South Carolina | Primary | |
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 Harry C. Raysor Drive, P.o. Box 237
St. Matthews, South Carolina |
| Zip: | 29135-0237 |
| Phone Number: | 803-874-2243 |
Patients can reach Lake Dentistry Llc at
735 Harry C. Raysor Drive, St. Matthews, South Carolina or can
call to book an appointment on 803-874-2243.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.