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

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: July 19, 2026.

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
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

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

The NPI number assigned to this healthcare provider is 1699959528, enumerated as an "organization" on December 27, 2007.

The provider is located at 735 HARRY C. RAYSOR DRIVE ST. MATTHEWS, SC 29135 and the phone number is (803) 874-2243.

Dentist with taxonomy code 122300000X.