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Contact Information

SCOTT A LAKE, DDS
616 E MAIN
CHEWELAH, WA99109
 Phone: 509-935-8642
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SCOTT A LAKE · (Male)

NPI Number 1033340088
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/06/2009
Last updated 08/06/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60096083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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