Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW BRYANT LAKE, DMD
ActiveDR. MATTHEW BRYANT LAKE, DMD is a General Dentistry healthcare provider located in DALLAS, Oregon. NPI 1750952750 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DALLAS, OR
Registration Details
- NPI Number
- 1750952750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2021 (4.9146556505261 yrs)
- Last Updated
- Jan 17, 2024
- Licenses
-
12372 (NC)D11746 (OR)
Practice Information
- Address
-
201 SE WASHINGTON ST STE BDALLAS, OR, 973382860Browse OR providers · Browse ZIP 97338
- Phone
- 5036232666
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in DALLAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS L DAVIS JR. | D.M.D. | 1255489621 |
| DR. GEORGE RYAN DAVIS | D.M.D. | 1366765687 |
| IGOR SITNIK | — | 1982089850 |
| DR. BENJAMIN JAMES | D.D.S. | 1194175935 |
| DR. HERBERT STARR WOODWARD III | DDS | 1588185953 |
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.