Dr. Ulrich Lake is a Madison, Wisconsin based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ulrich Lake is 4288015 for Pediatric Dentistry in Wisconsin. Her current practice location is 100 River Place, Ste 110, Madison. Patients can reach her at 608-222-6160.
Dr. Ulrich Lake provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Ulrich Lake 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. Ulrich Lake
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
100 River Place, Ste 110, Madison, Wisconsin, 53716
Phone:
608-222-6160
Fax:
608-222-6248
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:
1821187683
NPI Enumeration Date:
12 Oct, 2006
NPI Last Update On:
08 Jul, 2007
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. Ulrich Lake are as mentioned below.
License Number
Specialization
State
Status
4288015
Pediatric Dentistry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ulrich Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33762600
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:
100 River Place, Ste 110 Madison, Wisconsin
Zip:
53716
Phone Number:
608-222-6160
Fax Number:
608-222-6248
Patients can reach Dr. Ulrich Lake at 100 River Place, Ste 110, Madison, Wisconsin or can call to book an appointment on 608-222-6160. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.