OrganizationActive
Cordell Lake, D.D.S., LLC
NPI 1619446077 · Dental Clinic/Center · Farmington, MO
Cordell Lake, D.D.S., LLC is a Dental Clinic/Center organization in Farmington, MO (NPI 1619446077).
Provider details
- NPI number
- 1619446077
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cordell Lake, General Dentist(816) 728-1630
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
12 E Harrison St
Farmington, MO 63640-1859
Phone: (573) 756-4344
Street-level locationGet directions
Mailing address
3145 Cross Creek Dr
Camdenton, MO 65020-9377
Registry dates
- Enumerated
- 2018-11-15
- Last updated
- 2018-11-15
Frequently asked questions
- What is Cordell Lake, D.D.S., LLC's NPI number?
- Cordell Lake, D.D.S., LLC's National Provider Identifier (NPI) is 1619446077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cordell Lake, D.D.S., LLC?
- Cordell Lake, D.D.S., LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cordell Lake, D.D.S., LLC located?
- Cordell Lake, D.D.S., LLC's practice location on file with NPPES is 12 E Harrison St, Farmington, MO 63640-1859.
- What is Cordell Lake, D.D.S., LLC's phone number?
- The practice phone number listed in the NPPES registry for Cordell Lake, D.D.S., LLC is (573) 756-4344.
- Who is the authorized official for Cordell Lake, D.D.S., LLC?
- The authorized official listed on Cordell Lake, D.D.S., LLC's NPPES record is Cordell Lake, General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cordell Lake, D.D.S., LLC's NPI active?
- Yes — Cordell Lake, D.D.S., LLC's NPI (1619446077) is active in the NPPES registry as of the last update on 2018-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.