What is Clarence Lake's NPI number?

Clarence Lake's National Provider Identifier (NPI) is 1336197201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Clarence Lake's specialty?

Clarence Lake is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Clarence Lake located?

Clarence Lake's practice location on file with NPPES is 735 Raysor Drive, St. Matthews, SC 29135-0237.

What is Clarence Lake's phone number?

The practice phone number listed in the NPPES registry for Clarence Lake is (803) 874-2243.

Is Clarence Lake's NPI active?

Yes — Clarence Lake's NPI (1336197201) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Clarence Lake, D.M.D.

NPI 1336197201 · General Practice Dentistry · St. Matthews, SC

Clarence Lake, D.M.D. is a General Practice Dentistry provider in St. Matthews, SC (NPI 1336197201).

Provider details

NPI number: 1336197201
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.M.D.
Sex: Male
Sole proprietor: No
License: 02808 (SC)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 02808 (SC)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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

735 Raysor Drive

St. Matthews, SC 29135-0237

Phone: (803) 874-2243

Approximate (ZIP-level) locationGet directions

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Mailing address