Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLARENCE ROBERTS LAKE, D.M.D.
ActiveDR. CLARENCE ROBERTS LAKE, D.M.D. is a General Dentistry healthcare provider located in ST. MATTHEWS, South Carolina. NPI 1336197201 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ST. MATTHEWS, SC
Registration Details
- NPI Number
- 1336197201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.099113885169 yrs)
- Last Updated
- Jul 9, 2007
- License
-
02808 (SC)
Practice Information
- Address
-
735 RAYSOR DRIVEST. MATTHEWS, SC, 291350237Browse SC providers · Browse ZIP 29135
- Phone
- 8038742243
- Primary Specialty
-
General Dentistry
1223G0001X
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.