DR. JEREMY BRIAN LAKE DDS
NPI 1891981189
Dentist - General Practice in Jbphh, HI

Active since September 20, 2007
755 SCOTT CIR BLDG 559, JBPHH, HI 96853(808) 448-6371 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jeremy Brian Lake Dds NPPES

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

DR. JEREMY BRIAN LAKE DDS (NPI 1891981189) is an individual general practice provider in Jbphh, Hawaii, licensed in West Virginia (3792) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1891981189
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEREMY BRIAN LAKECredential: DDS
Location Address755 SCOTT CIR BLDG 559Jbphh, HI 96853-5399
Mailing Address724 Lelemanu AlyHonolulu, HI 96818-5942 · (707) 392-9419
Sole ProprietorNo
Enumeration DateSeptember 20, 2007
Last NPPES UpdateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
NPI 1891981189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WV · 3792
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.

755 SCOTT CIR BLDG 559, Jbphh, HI 96853

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist
755 SCOTT CIR BLDG 559
HICKAM AFB, HI 96853
Registered Nurse
755 SCOTT CIR BLDG 559
JBPHH, HI 96853
Registered Nurse (Case Management)
755 SCOTT CIR BLDG 559
JBPHH, HI 96853
Registered Nurse (Case Management)
755 SCOTT CIR BLDG 559
JBPHH, HI 96853

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891981189, enumerated as an "individual" on September 20, 2007.

The provider is located at 755 SCOTT CIR BLDG 559 JBPHH, HI 96853 and the phone number is (808) 448-6371.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.