Mark Lake, D.D.S.
NPI 1356479539 · General Practice Dentistry · Osage Beach, MO
Mark Lake, D.D.S. is a General Practice Dentistry provider in Osage Beach, MO (NPI 1356479539).
Provider details
- NPI number
- 1356479539
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2006014707 (MO)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.