Lake Family Dentistry PC
NPI 1275804312 · Dental Clinic/Center · Colonia, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Family Dentistry PC is a Dental Clinic/Center organization in Colonia, NJ (NPI 1275804312).
Provider details
- NPI number
- 1275804312
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Danish Qadri, President(732) 388-2822
- License
- 22DI02351300 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Family Dentistry
Registry dates
- Enumerated
- 2012-01-21
- Last updated
- 2015-01-26
Frequently asked questions
- What is Lake Family Dentistry PC's NPI number?
- Lake Family Dentistry PC's National Provider Identifier (NPI) is 1275804312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Family Dentistry PC?
- Lake Family Dentistry PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Family Dentistry PC located?
- Lake Family Dentistry PC's practice location on file with NPPES is 296 Lake Ave, Colonia, NJ 07067-1201.
- What is Lake Family Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Family Dentistry PC is (732) 388-2822.
- Does Lake Family Dentistry PC accept Medicare?
- Lake Family Dentistry PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Family Dentistry PC?
- The authorized official listed on Lake Family Dentistry PC's NPPES record is Danish Qadri, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Family Dentistry PC's NPI active?
- Yes — Lake Family Dentistry PC's NPI (1275804312) is active in the NPPES registry as of the last update on 2015-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.