Lake Road Dental Llc - Dental Clinic in Dillingham, AK

Lake Road Dental Llc is a dental clinic (Clinic/center - Dental) in Dillingham, Alaska. The current practice location for Lake Road Dental Llc is 4622 Shannon Lake Rd, Dillingham, Alaska. For appointments, you can reach them via phone at (907) 842-2324. The mailing address for Lake Road Dental Llc is Po Box 969, Dillingham, Alaska and phone number is (907) 842-2324.

Lake Road Dental Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1174016737. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (907) 842-2324.

Contact Information

Lake Road Dental Llc
4622 Shannon Lake Rd
Dillingham
AK 99576
(907) 842-2324
Not Available

Map and Direction


Dental Care Clinic Profile

Full NameLake Road Dental Llc
SpecialityClinic/center - Dental
Location4622 Shannon Lake Rd, Dillingham, Alaska
Authorized Official Name and PositionKelly Lucas (DENTIST/ OWNER)
Authorized Official Contact9078422324
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Road Dental Llc
Po Box 969
Dillingham
AK 99576-0969

Ph: (907) 842-2324
Lake Road Dental Llc
4622 Shannon Lake Rd
Dillingham
AK 99576

Ph: (907) 842-2324

NPI Details:

NPI Number1174016737
Provider Enumeration Date06/08/2018
Last Update Date06/08/2018

Medical Identifiers

Medical identifiers for Lake Road Dental Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174016737NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Primary

Reviews and Comments


Dental Clinics in Dillingham, AK

Dental Group
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576
Phone: 907-842-5201    Fax: 907-842-9250

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.