Edward William Lake Dds Pc in Potosi - Dental
Edward William Lake Dds Pc - NPI 1063676369
Edward William Lake Dds Pc is a Dental in Potosi, Missouri. Edward William Lake Dds Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Edward William Lake Dds Pc is 1063676369. The last update date is 2008-07-16.
Edward William Lake Dds Pc's current location address is 313 E High St, Potosi, Missouri. You can contact this provider via phone number 5734386277. The mailing address for Edward William Lake Dds Pc is 313 E High St, Potosi, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward William Lake Dds Pc |
|---|---|
| Address | 313 E High St, Potosi, Missouri |
| Phone Number | 5734386277 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lake William Edward |
| Credentials | DDS |
| Telephone Number | 5734386277 |
NPI Number Detail
| NPI Number | 1063676369 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 313 E High St |
|---|---|
| City | Potosi |
| State | Missouri (MO) |
| Post Code | 636641924 |
| Phone Number | 5734386277 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 11627 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Edward William Lake Dds Pc by the Centers for Medicare & Medicaid Services?
The Edward William Lake Dds Pc has been issued the NPI (National Provider Identifier) 1063676369. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Edward William Lake Dds Pc is geographically located?
The Edward William Lake Dds Pc is physically situated at the following location: 313 E High St, Potosi, MO, 636641924.
What is Edward William Lake Dds Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward William Lake Dds Pc is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
When was the Edward William Lake Dds Pc's 1063676369 issued?
The Edward William Lake Dds Pc's 1063676369 was issued on 2008-07-16.
When was the information related to Edward William Lake Dds Pc most recently updated or refreshed?
The details pertaining to the Edward William Lake Dds Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-16.
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