OrganizationActive
Lake Family Dentistry
NPI 1457514259 · General Practice Dentistry · Osage Beach, MO
Provider details
- NPI number
- 1457514259
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Lake, Dentist(573) 348-9888
- License
- 2006014707 (MO)
Specialties & taxonomies
Dental Providers
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
1037 Palisades Blvd Ste 9
Osage Beach, MO 65065
Phone: (573) 348-9888
Fax: (573) 348-9894
Street-level locationGet directions
Mailing address
1037 Palisades Blvd Ste 9
Osage Beach, MO 65065-3340
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2008-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.