OrganizationActive
Edward William Lake DDS PC
NPI 1063676369 · Dental Clinic/Center · Potosi, MO
Edward William Lake DDS PC is a Dental Clinic/Center organization in Potosi, MO (NPI 1063676369).
Provider details
- NPI number
- 1063676369
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Lake, President(573) 438-6277
- License
- 11627 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
313 E High St
Potosi, MO 63664-1924
Phone: (573) 438-6277
Street-level locationGet directions
Mailing address
313 E High St
Potosi, MO 63664-1924
Registry dates
- Enumerated
- 2008-07-16
- Last updated
- 2008-07-16
Frequently asked questions
- What is Edward William Lake DDS PC's NPI number?
- Edward William Lake DDS PC's National Provider Identifier (NPI) is 1063676369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edward William Lake DDS PC?
- Edward William Lake DDS PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Edward William Lake DDS PC located?
- Edward William Lake DDS PC's practice location on file with NPPES is 313 E High St, Potosi, MO 63664-1924.
- What is Edward William Lake DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Edward William Lake DDS PC is (573) 438-6277.
- Who is the authorized official for Edward William Lake DDS PC?
- The authorized official listed on Edward William Lake DDS PC's NPPES record is Edward Lake, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edward William Lake DDS PC's NPI active?
- Yes — Edward William Lake DDS PC's NPI (1063676369) is active in the NPPES registry as of the last update on 2008-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.