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DENNIS LAKE M.D.
NPI 1700986205
Pediatrics in Grand Rapids, MI

Active since September 24, 2006
710 KENMOOR AVE SE, SUITE 110, GRAND RAPIDS, MI 49546(616) 949-6112(616) 949-8530 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dennis Lake M.d. NPPES

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

DENNIS LAKE M.D. (NPI 1700986205) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301039973) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1700986205
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDENNIS LAKECredential: M.D.
Location Address710 KENMOOR AVE SE, SUITE 110Grand Rapids, MI 49546-2379
Mailing Address710 Kenmoor Ave Se, Suite 110Grand Rapids, MI 49546-2379 · (616) 949-6112 · Fax (616) 949-8530
Phone(616) 949-6112
Fax(616) 949-8530
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700986205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301039973
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
710 KENMOOR AVE SE, Grand Rapids, MI 49546
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Other Identifiers 1

Medicaid2890360MI

Other Providers at the Same Location NPPES 16

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

CHRISTOPHER ROSS RUSSO MD
Pain Medicine (Interventional Pain Medicine)
710 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 588-7246
INTERVENTION INSIGHTS INC.
Clinic/Center (Genetics)
710 KENMOOR AVE SE, STE 120
GRAND RAPIDS, MI 49546
Kent County (616) 949-7500
MS. LINDA LOU FEIGHNER RN BSN CPNP
Nurse Practitioner
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-5043
JAVERY PAIN INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
710 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 588-7246
ANN CAROL SWAGMAN RN CPNP
Nurse Practitioner (Pediatrics)
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112
MARTIN J BURY M.D.
Specialist
710 KENMOOR AVE SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 954-9800
JENNIFER L VAN ZEE M.D.
Pediatrics
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112
NEWTON, FRANK & BLICKLEY, MD, PC
Obstetrics & Gynecology
710 KENMOOR AVE SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 957-1510

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 Dennis Lake's NPI number?

The NPI number for Dennis Lake is 1700986205. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Dennis Lake located?

Dennis Lake practices at 710 Kenmoor Ave SE Suite 110, Grand Rapids, MI 49546. The listed phone number is (616) 949-6112.

What is Dennis Lake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Dennis Lake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.