DR. CORDELL LAKE DDS
NPI 1255744405
Dentist in Farmington, MO

Q: What is Cordell Lake's NPI number?

The NPI number for Cordell Lake is 1255744405. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Q: What is Cordell Lake's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Cordell Lake was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 05, 2014

12 E HARRISON ST, FARMINGTON, MO 63640(573) 756-4344 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Cordell Lake Dds NPPES

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

DR. CORDELL LAKE DDS (NPI 1255744405) is an individual dentist in Farmington, Missouri, licensed in Missouri (2014016814) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1255744405

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CORDELL LAKECredential: DDS

Location Address12 E HARRISON STFarmington, MO 63640-1859

Mailing Address12 E Harrison StFarmington, MO 63640-1859

Phone(573) 756-4344

Sole ProprietorYes

Enumeration DateJune 5, 2014

Last NPPES UpdateMarch 4, 2019

✔ NPI 1255744405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2014016814

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12 E HARRISON ST, Farmington, MO 63640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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.

TIMOTHY M. O'BRYAN DDS, LLC

Clinic/Center (Dental)

12 E HARRISON ST
FARMINGTON, MO 63640

St. Francois County (573) 756-4344

CORDELL LAKE, D.D.S., LLC

Clinic/Center (Dental)

12 E HARRISON ST
FARMINGTON, MO 63640

St. Francois County (573) 756-4344

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 Cordell Lake's NPI number?

The NPI number for Cordell Lake is 1255744405. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Cordell Lake located?

Cordell Lake practices at 12 E Harrison St, Farmington, MO 63640. The listed phone number is (573) 756-4344.

What is Cordell Lake's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Cordell Lake accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Cordell Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cordell Lake was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.