LAKE FAMILY DENTAL (NPI# 1821659608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821659608 |
| Entity Type | Organization |
| Organization Name | LAKE FAMILY DENTAL |
| Practice Address |
8155 Piney River Ave Ste 220 Littleton CO 80125-8730 |
| Practice Telephone | 3033468000 |
| Practice Fax Number | 3032239295 |
| Mailing Telephone | 3033468000 |
| Mailing Fax Number | 3032239295 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | MATTHEW LAKE (OWNER/ DENTIST) |
| Authorized Official Telephone | 3033468000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639188295 | Lake Family Dental | Dentist | 1372 Patriot Blvd, Glenview, IL 60026-7777 | 2006-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Lake Family Dental, PLLC | 8155 Piney River Ave #220, Littleton, CO 80125 |
| Street Address |
8155 PINEY RIVER AVE STE 220 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80125-8730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598233637 | Poudre Valley Medical Group, LLC | Clinic/Center | 8155 Piney River, Suite 100, Littleton, CO 80125 | 2018-11-07 |
| 1447327002 | Dawn Beata Barrowman | Nurse Practitioner | 12257 S. Wadsworth Blvd, Littleton, CO 80125 | 2006-11-29 |
| 1396839635 | Kalindi Batra | Family Medicine | 8155 Piney River Avenue, Littleton, CO 80125 | 2006-10-03 |
| 1497209019 | Jeff Anderson | Specialist/Technologist, Other | 9517 Bighorn Way, Littleton, CO 80125 | 2016-08-11 |
| 1962587592 | Jason Guy | Physician Assistant | 8155 Piney River Avenue, Littleton, CO 80125 | 2006-10-25 |
| 1063463248 | Rocky Mountain Pediatric Anesthesiology,pc | Anesthesiology | 7880 Galileo Way, Littleton, CO 80125 | 2006-05-13 |
| 1609482546 | Amy Brundage Kinkade | Registered Nurse | 8095 Galileo Way, Littleton, CO 80125-1813 | 2020-09-16 |
| 1427603547 | Katherine Moore Groat | Occupational Therapist | 7833 Galileo Way, Littleton, CO 80125-1873 | 2019-08-06 |
| 1477174696 | Tandem Community Care LLC | Home Health | 7833 Galileo Way, Littleton, CO 80125-1873 | 2020-04-28 |
| 1821637141 | Tandem Care and Wellness LLC | Clinic/Center | 7833 Galileo Way, Littleton, CO 80125-1873 | 2020-01-03 |
| Find all providers in zip 80125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493238 | Rocky Mountain Dental Sleep, LLC | Dentist | 771 Southpark Dr Ste 100, Littleton, CO 80120-5644 | 2020-06-30 |
| 1508482894 | Lan Nancy Da Nguyen | Dentist | 7330 S Broadway Unit 300, Littleton, CO 80122-8016 | 2020-06-22 |
| 1043864705 | My Local Colorado Dental Practice, LLC | Dentist | 5021 S Jellison Way Unit C, Littleton, CO 80123-7377 | 2019-07-30 |
| 1427557552 | New Day Dentistry Pllc | Dentist | 8441 W Bowles Ave Ste 220, Littleton, CO 80123-9501 | 2018-02-05 |
| 1790209344 | Zubi Dental Health, PC | Dentist | 802 Constitution Ave, Littleton, MA 01460 | 2017-07-26 |
| 1437671302 | Phuc Minh Nguyen | Dentist | 5574 W Ida Dr, Littleton, CO 80123-5137 | 2017-07-12 |
| 1972031474 | Ryan Cooper | Dentist | 7761 Shaffer Pkwy Ste 250, Littleton, CO 80127-3730 | 2017-05-27 |
| 1649704636 | Kelly M Santarelli | Dentist | 7720 S Broadway Ste 430, Littleton, CO 80122-2624 | 2017-04-17 |
| 1053791236 | Walter L. Glass, D.d.s., P.C. | Dentist | 7325 S Pierce St Ste 201, Littleton, CO 80128-4553 | 2015-06-03 |
| 1861778110 | Littleton Modern Dentistry and Orthodontics, LLP | Dentist | 7456 South Simms Street Suite A-1, Littleton, CO 80127 | 2011-11-01 |
| Find all providers in LITTLETON | ||||
Please comment or provide details below to improve the information on LAKE FAMILY DENTAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.