Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORDELL LAKE, DDS
Active Sole ProprietorDR. CORDELL LAKE, DDS is a Dentist healthcare provider located in FARMINGTON, Missouri. NPI 1255744405 is currently active in the NPPES registry. Verify at CMS.
Dentist · FARMINGTON, MO
Registration Details
- NPI Number
- 1255744405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2014 (12.177967058965 yrs)
- Last Updated
- Mar 4, 2019
- License
-
2014016814 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12 E HARRISON STFARMINGTON, MO, 636401859Browse MO providers · Browse ZIP 63640
- Phone
- 5737564344
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FARMINGTON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. GARY P CROWLEY | DDS | 1316057706 |
| DR. JERRY MICHAEL HILL JR. | DMD | 1750548905 |
| DR. JOHN P JACKSON | DDS | 1467619056 |
| DR. THOMAS STANLEY FINLEY I | DDS | 1245566611 |
| DR. MARVIN HAMILTON BOHNENKAMP | DMD | 1295061547 |
| DR. CHARLES JUSTUS ELKINGTON | DMD | 1841584737 |
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.