| Dr Steven C Lakes Dmd | |
|
151 Broadway St Colchester CT 06415-1056 | |
| (860) 537-1444 | |
| (860) 537-6648 |
| Full Name | Dr Steven C Lakes Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 151 Broadway St, Colchester, Connecticut |
| Authorized Official Name and Position | Steven Charles Lakes (DENTIST/OWNER) |
| Authorized Official Contact | 8605371444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven C Lakes Dmd 151 Broadway Colchester CT 06415 Ph: (860) 537-1444 | Dr Steven C Lakes Dmd 151 Broadway St Colchester CT 06415-1056 Ph: (860) 537-1444 |
| NPI Number | 1174893911 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174893911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 005290 (Connecticut) | Primary |
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