| Dr John Campbell Lake Jr, DMD | |
|
2706 Main St, Newberry, SC 29108-4004 | |
| (803) 276-2090 | |
| Not Available |
| Full Name | Dr John Campbell Lake Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2706 Main St, Newberry, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215263017 | NPI | - | NPPES |
| ZX4593 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4593 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Campbell Lake Jr, DMD 2706 Main St, Newberry, SC 29108-4004 Ph: (803) 276-2090 | Dr John Campbell Lake Jr, DMD 2706 Main St, Newberry, SC 29108-4004 Ph: (803) 276-2090 |
Kevin Malcolm James, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1108 Calhoun St, Newberry, SC 29108 Phone: 803-276-0940 Fax: 803-276-0941 | |
Dr. Willaim B. Rush, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2306 Harrington St, Newberry, SC 29108 Phone: 803-276-6552 Fax: 803-276-6553 | |
Dr. James R Williams Jr., DMD Dentist Medicare: Medicare Enrolled Practice Location: 2706 Main St, Newberry, SC 29108 Phone: 803-276-2090 Fax: 803-276-5810 | |
Dr. Diane Zybko Broom, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2039 Medical Park Dr, Newberry, SC 29108 Phone: 803-276-3371 | |
Dr. Erwin Renwick Baker, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1307 Hunt St, Newberry, SC 29108 Phone: 803-276-8087 | |
Dr. Robert Leslie Brown, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1504 Wilson Rd, Newberry, SC 29108 Phone: 803-276-9343 |