VALERIE E LAKE, DDS, LLC
NPI 1053062430
Clinic/Center - Dental in Fort Wayne, IN

Active since January 17, 2022
6211 COVINGTON RD, FORT WAYNE, IN 46804(260) 432-1579(260) 432-4540 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2022, Jan 17, 2022 (2 updates tracked since 2022).

About Valerie E Lake, Dds, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALERIE E LAKE, DDS, LLC (NPI 1053062430) is a healthcare organization registered as a dental in Fort Wayne, Indiana and active in the NPI registry since January 2022. The organization lists Valerie E Lake, Member, as its authorized official.

NPPES Registry Identity

NPI1053062430
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameVALERIE E LAKE, DDS, LLC
Location Address6211 COVINGTON RDFort Wayne, IN 46804-7311
Mailing Address6211 Covington RdFort Wayne, IN 46804-7311 · (260) 432-1579 · Fax (260) 432-4540
Fax(260) 432-4540
Organization SubpartNo
Authorized OfficialValerie E LakeMember · (260) 432-1579
Enumeration DateJanuary 17, 2022
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
NPI 1053062430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
6211 COVINGTON RD, Fort Wayne, IN 46804

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
6211 COVINGTON RD
FORT WAYNE, IN 46804
Dentist (General Practice)
6211 COVINGTON RD
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valerie E Lake, Dds, LLC's NPI number?

The NPI number for Valerie E Lake, Dds, LLC is 1053062430. It was assigned to this organization in the NPPES registry on January 17, 2022.

Where is Valerie E Lake, Dds, LLC located?

Valerie E Lake, Dds, LLC is located at 6211 Covington Rd, Fort Wayne, IN 46804. The listed phone number is (260) 432-1579.

What is Valerie E Lake, Dds, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Valerie E Lake, Dds, LLC was last updated on March 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.