| Lake Family Dentistry | |
|
1037 Palisades Blvd Ste 9 Osage Beach MO 65065 | |
| (573) 348-9888 | |
| (573) 348-9894 |
| Full Name | Lake Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1037 Palisades Blvd Ste 9, Osage Beach, Missouri |
| Authorized Official Name and Position | Mark S Lake (DENTIST) |
| Authorized Official Contact | 5733489888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Family Dentistry 1037 Palisades Blvd Ste 9 Osage Beach MO 65065-3340 Ph: (573) 348-9888 | Lake Family Dentistry 1037 Palisades Blvd Ste 9 Osage Beach MO 65065 Ph: (573) 348-9888 |
| NPI Number | 1457514259 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457514259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2006014707 (Missouri) | Primary |
Ads Osage Beach Lp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4320 Osage Beach Pkwy, Osage Beach, MO 65065 Phone: 573-348-1466 | |
Access Dental & Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4320 Osage Beach Pkwy, Osage Beach, MO 65065 Phone: 573-348-1466 Fax: 573-348-1581 |