Dr. John Campbell Lake Jr. is a Newberry, South Carolina based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. John Campbell Lake Jr. is 4593 for General Practice Dentistry in South Carolina. His current practice location is 2706 Main St, Newberry. Patients can reach him at 803-276-2090.
Dr. John Campbell Lake Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. John Campbell Lake Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. John Campbell Lake Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
2706 Main St, Newberry, South Carolina, 29108-4004
Phone:
803-276-2090
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 are as mentioned below.
NPI Number:
1215263017
NPI Enumeration Date:
29 Oct, 2009
NPI Last Update On:
18 Apr, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Campbell Lake Jr. are as mentioned below.
License Number
Specialization
State
Status
4593
General Practice Dentistry
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John Campbell Lake Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZX4593
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:
2706 Main St, Newberry, South Carolina
Zip:
29108-4004
Phone Number:
803-276-2090
Patients can reach Dr. John Campbell Lake Jr. at 2706 Main St, Newberry, South Carolina or can call to book an appointment on 803-276-2090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.