Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN JOSEPH LAKE, DMD
Active Sole ProprietorDR. KEVIN JOSEPH LAKE, DMD is a Dentist healthcare provider located in NEW PROVIDENCE, New Jersey. NPI 1083638399 is currently active in the NPPES registry. Verify at CMS.
Dentist · NEW PROVIDENCE, NJ
Registration Details
- NPI Number
- 1083638399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.089168367376 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22DI02044100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 ETHAN DRNEW PROVIDENCE, NJ, 079741604Browse NJ providers · Browse ZIP 07974
- Phone
- 9084645270
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in NEW PROVIDENCE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES MICHAEL RUBINO | DMD | 1336369925 |
| DR. DANIEL BARLETTA | D.M.D. | 1790992139 |
| DR. IRINA FAINVETS | DMD | 1215675194 |
| DR. AHMED TAREQ | — | 1407568231 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.