LAKE DENTISTRY LLC
NPI 1699959528
Dentist in St. Matthews, SC

Q: What is Lake Dentistry LLC's NPI number?

The NPI number for Lake Dentistry LLC is 1699959528. It was assigned to this organization in the NPPES registry on December 27, 2007.

Q: What is Lake Dentistry LLC's specialty?

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

Active since December 27, 2007

735 HARRY C. RAYSOR DRIVE, ST. MATTHEWS, SC 29135(803) 874-2243 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lake Dentistry Llc NPPES

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

LAKE DENTISTRY LLC (NPI 1699959528) is a healthcare organization registered as a dentist in St. Matthews, South Carolina and active in the NPI registry since December 2007. The organization lists Clarence Roberts Lake, Owner, as its authorized official.

NPPES Registry Identity

NPI1699959528

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLAKE DENTISTRY LLC

Location Address735 HARRY C. RAYSOR DRIVESt. Matthews, SC 29135-0237

Mailing Address735 Harry C. Raysor Drive, P.o. Box 237St. Matthews, SC 29135-0237 · (803) 874-2243

Phone(803) 874-2243

Organization SubpartNo

Authorized OfficialClarence Roberts LakeOwner · (803) 874-2243

Enumeration DateDecember 27, 2007

✔ NPI 1699959528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 02808

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.

735 HARRY C. RAYSOR DRIVE, St. Matthews, SC 29135

Open in Google Maps ↗

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 Dentistry LLC's NPI number?

The NPI number for Lake Dentistry LLC is 1699959528. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Lake Dentistry LLC located?

Lake Dentistry LLC is located at 735 Harry C. Raysor Drive, St. Matthews, SC 29135. The listed phone number is (803) 874-2243.

What is Lake Dentistry LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Dentistry LLC was last updated on December 27, 2007. 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.