OrganizationActive
Lake Dentistry LLC
NPI 1699959528 · Dentist · St. Matthews, SC
Lake Dentistry LLC is a Dentist organization in St. Matthews, SC (NPI 1699959528).
Provider details
- NPI number
- 1699959528
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Clarence Lake, Owner(803) 874-2243
- License
- 02808 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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 Harry C. Raysor Drive
St. Matthews, SC 29135-0237
Phone: (803) 874-2243
Street-level locationGet directions
Mailing address
735 Harry C. Raysor Drive
St. Matthews, SC 29135-0237
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2007-12-27
Frequently asked questions
- What is Lake Dentistry LLC's NPI number?
- Lake Dentistry LLC's National Provider Identifier (NPI) is 1699959528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Dentistry LLC?
- Lake Dentistry LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Dentistry LLC located?
- Lake Dentistry LLC's practice location on file with NPPES is 735 Harry C. Raysor Drive, St. Matthews, SC 29135-0237.
- What is Lake Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Dentistry LLC is (803) 874-2243.
- Who is the authorized official for Lake Dentistry LLC?
- The authorized official listed on Lake Dentistry LLC's NPPES record is Clarence Lake, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Dentistry LLC's NPI active?
- Yes — Lake Dentistry LLC's NPI (1699959528) is active in the NPPES registry as of the last update on 2007-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.