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LAKE DENTAL ASSOCIATES PC NPI 1265511950


NPI Information

NPI: 1265511950
Provider Name: LAKE DENTAL ASSOCIATES PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
102 N 5TH ST
CLEAR LAKE, IA
ZIP 50428
Phone: (641) 357-4112
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LAKE DENTAL ASSOCIATES PC is a general practice dentist in Clear Lake, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAKE DENTAL ASSOCIATES PC NPI is 1265511950. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

102 N 5TH ST
CLEAR LAKE, IA
ZIP 50428-803
Phone: (641) 357-4112
Fax: (641) 357-0670

The provider's authorized official is Jason T Skinner .
The authorized official title is President and has the following contact phone number (641) 357-4112.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeIOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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