OrganizationActive
Lake Road Dental LLC
NPI 1174016737 · Dental Clinic/Center · Dillingham, AK
Lake Road Dental LLC is a Dental Clinic/Center organization in Dillingham, AK (NPI 1174016737).
Provider details
- NPI number
- 1174016737
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Lucas, Dentist/ Owner(907) 842-2324
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
4622 Shannon Lake Rd
Dillingham, AK 99576
Phone: (907) 842-2324
Street-level locationGet directions
Mailing address
Po Box 969
Dillingham, AK 99576-0969
Registry dates
- Enumerated
- 2018-06-08
- Last updated
- 2018-06-08
Frequently asked questions
- What is Lake Road Dental LLC's NPI number?
- Lake Road Dental LLC's National Provider Identifier (NPI) is 1174016737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Road Dental LLC?
- Lake Road Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Road Dental LLC located?
- Lake Road Dental LLC's practice location on file with NPPES is 4622 Shannon Lake Rd, Dillingham, AK 99576.
- What is Lake Road Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Road Dental LLC is (907) 842-2324.
- Who is the authorized official for Lake Road Dental LLC?
- The authorized official listed on Lake Road Dental LLC's NPPES record is Kelly Lucas, Dentist/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Road Dental LLC's NPI active?
- Yes — Lake Road Dental LLC's NPI (1174016737) is active in the NPPES registry as of the last update on 2018-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.