Individual provider · Type 1 NPI

Cordell Lake, DDS

Dentist · Farmington, MO

NPI number 1255744405 Active

Practice location

12 E Harrison St
Farmington, MO 63640-1859

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2014016814 (MO)

Dentist: 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 requiremen…

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About NPI 1255744405

Cordell Lake, DDS's National Provider Identifier is 1255744405, issued on Jun 5, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Farmington, MO. The record was last updated on Mar 4, 2019.