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Contact Information

LAKE FAMILY DENTISTRY
1037 PALISADES BLVD STE 9
OSAGE BEACH, MO65065
 Phone: 573-348-9888
 Fax: 573-348-9894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LAKE FAMILY DENTISTRY

NPI # 1457514259
LBN Legal business name LAKE FAMILY DENTISTRY
Authorized official MARK LAKE - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2008
Last updated 07/02/2008 - About 18 years ago
Identifiers
MO License # 2006014707
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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