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LAKE FAMILY DENTISTRY
NPI 1457514259
Dentist - General Practice in Osage Beach, MO

Active since July 02, 2008
1037 PALISADES BLVD STE 9, OSAGE BEACH, MO 65065(573) 348-9888(573) 348-9894 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Family Dentistry NPPES

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

LAKE FAMILY DENTISTRY (NPI 1457514259) is a healthcare organization registered as a general practice in Osage Beach, Missouri and active in the NPI registry since July 2008. The organization lists Mark S Lake, Dentist, as its authorized official.

NPPES Registry Identity

NPI1457514259
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE FAMILY DENTISTRY
Location Address1037 PALISADES BLVD STE 9Osage Beach, MO 65065
Mailing Address1037 Palisades Blvd Ste 9Osage Beach, MO 65065-3340 · (573) 348-9888 · Fax (573) 348-9894
Phone(573) 348-9888
Fax(573) 348-9894
Organization SubpartNo
Authorized OfficialMark S LakeDentist · (573) 348-9888
Enumeration DateJuly 2, 2008
✔ NPI 1457514259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2006014707
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.
1037 PALISADES BLVD STE 9, Osage Beach, MO 65065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lake Family Dentistry's NPI number?

The NPI number for Lake Family Dentistry is 1457514259. It was assigned to this organization in the NPPES registry on July 2, 2008.

Where is Lake Family Dentistry located?

Lake Family Dentistry is located at 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065. The listed phone number is (573) 348-9888.

What is Lake Family Dentistry'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 Lake Family Dentistry was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.