1. Home
  2. Directory
  3. South Carolina
  4. St Matthews
  5. Dentist
  6. NPI Profile

DR. CLARENCE ROBERTS LAKE D.M.D.
NPI 1336197201
Dentist - General Practice in St. Matthews, SC

Active since May 04, 2006
735 RAYSOR DRIVE, ST. MATTHEWS, SC 29135(803) 874-2243 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clarence Roberts Lake D.m.d. NPPES

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

DR. CLARENCE ROBERTS LAKE D.M.D. (NPI 1336197201) is an individual general practice provider in St. Matthews, South Carolina, licensed in South Carolina (02808) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1336197201
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLARENCE ROBERTS LAKECredential: D.M.D.
Location Address735 RAYSOR DRIVESt. Matthews, SC 29135-0237
Mailing Address735 Raysor DriveSt. Matthews, SC 29135-0237 · (803) 874-2243
Phone(803) 874-2243
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1336197201 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 · 02808
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.
735 RAYSOR DRIVE, St. Matthews, SC 29135
Open in Google Maps ↗

Other Identifiers 1

MedicaidZ28088SC

Other Providers at the Same Location NPPES

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

LAKE DENTISTRY, LLC
Dentist (General Practice)
735 RAYSOR DRIVE
ST. MATTHEWS, SC 29135
Calhoun County (803) 874-2243

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 Clarence Lake's NPI number?

The NPI number for Clarence Lake is 1336197201. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Clarence Lake located?

Clarence Lake practices at 735 Raysor Drive, St. Matthews, SC 29135. The listed phone number is (803) 874-2243.

What is Clarence 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 Clarence Lake was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.