DR. JOHN CAMPBELL LAKE JR. D.M.D.
NPI 1215263017
Dentist - General Practice in Newberry, SC

Q: What is John Lake's NPI number?

The NPI number for John Lake is 1215263017. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Q: What is John Lake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Lake was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 29, 2009

2706 MAIN ST, NEWBERRY, SC 29108(803) 276-2090 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. John Campbell Lake Jr. D.m.d. NPPES

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

DR. JOHN CAMPBELL LAKE JR. D.M.D. (NPI 1215263017) is an individual general practice provider in Newberry, South Carolina, licensed in South Carolina (4593) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1215263017

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN CAMPBELL LAKE JR.Credential: D.M.D.

Location Address2706 MAIN STNewberry, SC 29108-4004

Mailing Address2706 Main StNewberry, SC 29108-4004 · (803) 276-2090

Phone(803) 276-2090

Sole ProprietorYes

Enumeration DateOctober 29, 2009

Last NPPES UpdateApril 18, 2016

✔ NPI 1215263017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 4593

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2706 MAIN ST, Newberry, SC 29108

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Other Identifiers 1

MedicaidZX4593SC

Other Providers at the Same Location NPPES 3

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

DR. JAMES R WILLIAMS JR. DMD

Dentist (General Practice)

2706 MAIN ST
NEWBERRY, SC 29108

Newberry County (803) 276-2090

NEWBERRY DENTAL, PC

Dentist

2706 MAIN ST
NEWBERRY, SC 29108

Newberry County (803) 276-2090

NEWBERRY DENTAL CARE

Dentist (General Practice)

2706 MAIN ST
NEWBERRY, SC 29108

Newberry County (803) 276-2090

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 John Lake's NPI number?

The NPI number for John Lake is 1215263017. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is John Lake located?

John Lake practices at 2706 Main St, Newberry, SC 29108. The listed phone number is (803) 276-2090.

What is John Lake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Lake was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.