Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD WILLIAM LAKE, DDS
ActiveDR. EDWARD WILLIAM LAKE, DDS is a Dentist healthcare provider located in POTOSI, Missouri. NPI 1790820587 is currently active in the NPPES registry. Verify at CMS.
Dentist · POTOSI, MO
Registration Details
- NPI Number
- 1790820587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2007 (19.29931756482 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11627 (MO)
Practice Information
- Address
-
313 E HIGH STPOTOSI, MO, 636641924Browse MO providers · Browse ZIP 63664
- Phone
- 5734386277
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in POTOSI, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFERY JOHNSON | D.D.S. | 1346698396 |
| JILL BLEYTHING | DMD | 1093367591 |
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.