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LAKE DENTAL GROUP
NPI 1922314210
Dentist in Racine, WI

Active since August 24, 2010
400 LAKE AVE, RACINE, WI 53403(262) 633-0775 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Dental Group NPPES

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

LAKE DENTAL GROUP (NPI 1922314210) is a healthcare organization registered as a dentist in Racine, Wisconsin and active in the NPI registry since August 2010. The organization lists Lilly Poole, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922314210
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKE DENTAL GROUP
Location Address400 LAKE AVERacine, WI 53403-1020
Mailing Address400 Lake AveRacine, WI 53403-1020 · (262) 633-0775
Phone(262) 633-0775
Organization SubpartNo
Authorized OfficialLilly PooleOffice Manager · (262) 633-0775
Enumeration DateAugust 24, 2010
✔ NPI 1922314210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
400 LAKE AVE, Racine, WI 53403
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Other Identifiers 1

Medicaid33605400WI

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

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.

911 DENTAL GROUP
Clinic/Center (Dental)
400 LAKE AVE
RACINE, WI 53403
Racine County (262) 900-2191
NANA OWUSU
Dentist
400 LAKE AVE
RACINE, WI 53403
Racine County (262) 633-0775
DR. MARGARET ABOAGYE DDS
Dentist (General Practice)
400 LAKE AVE
RACINE, WI 53403
Racine County (262) 633-0775
DR. LANPHUONG NGUYEN DDS
Dentist (General Practice)
400 LAKE AVE
RACINE, WI 53403
Racine County (262) 633-0775

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 Dental Group's NPI number?

The NPI number for Lake Dental Group is 1922314210. It was assigned to this organization in the NPPES registry on August 24, 2010.

Where is Lake Dental Group located?

Lake Dental Group is located at 400 Lake Ave, Racine, WI 53403. The listed phone number is (262) 633-0775.

What is Lake Dental Group'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 Dental Group was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.