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Jeremy Lake, DDS — NPI 1891981189, Jbphh, HI | NPI Central

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NPI 1891981189

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Jeremy Lake, DDS

NPI 1891981189 · General Practice Dentistry · Jbphh, HI

Provider details

NPI number: 1891981189
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 3792 (WV)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 3792 (WV)
Dental Providers

Practice location

755 Scott Cir Bldg 559

Jbphh, HI 96853-5399

Phone: (808) 448-6371

Approximate (ZIP-level) locationGet directions

More HI providers

Mailing address

724 Lelemanu Aly

Honolulu, HI 96818-5942

Registry dates

Enumerated: 2007-09-20
Last updated: 2022-08-26
Certified: 2022-08-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.