EDWARD WILLIAM LAKE DDS PC
NPI 1063676369
Clinic/Center - Dental in Potosi, MO

Active since July 16, 2008
313 E HIGH ST, POTOSI, MO 63664(573) 438-6277 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward William Lake Dds Pc NPPES

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

EDWARD WILLIAM LAKE DDS PC (NPI 1063676369) is a healthcare organization registered as a dental in Potosi, Missouri and active in the NPI registry since July 2008. The organization lists Edward William Lake, President, as its authorized official.

NPPES Registry Identity

NPI1063676369
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEDWARD WILLIAM LAKE DDS PC
Location Address313 E HIGH STPotosi, MO 63664-1924
Mailing Address313 E High StPotosi, MO 63664-1924 · (573) 438-6277
Organization SubpartNo
Authorized OfficialEdward William LakePresident · (573) 438-6277
Enumeration DateJuly 16, 2008
NPI 1063676369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MO · 11627
313 E HIGH ST, Potosi, MO 63664

Other Providers at the Same Location NPPES

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

Dentist
313 E HIGH ST
POTOSI, MO 63664

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 Edward William Lake Dds PC's NPI number?

The NPI number for Edward William Lake Dds PC is 1063676369. It was assigned to this organization in the NPPES registry on July 16, 2008.

Where is Edward William Lake Dds PC located?

Edward William Lake Dds PC is located at 313 E High St, Potosi, MO 63664. The listed phone number is (573) 438-6277.

What is Edward William Lake Dds PC'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 Edward William Lake Dds PC was last updated on July 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.