Individual provider · Type 1 NPI
Clarence Roberts Lake, DMD
General Practice Dentistry · St. Matthews, SC
NPI number
1336197201
Active
Practice location
735 Raysor Drive
St. Matthews, SC 29135-0237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 02808 (SC) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
About NPI 1336197201
Clarence Roberts Lake, DMD's National Provider Identifier is 1336197201, issued on May 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Matthews, SC. The record was last updated on Jul 9, 2007.