OrganizationActive
Lake Dental Group
NPI 1922314210 · Dentist · Racine, WI
Lake Dental Group is a Dentist organization in Racine, WI (NPI 1922314210).
Provider details
- NPI number
- 1922314210
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lilly Poole, Office Manager(262) 633-0775
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
400 Lake Ave
Racine, WI 53403-1020
Phone: (262) 633-0775
Street-level locationGet directions
Mailing address
400 Lake Ave
Racine, WI 53403-1020
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2010-08-24
Frequently asked questions
- What is Lake Dental Group's NPI number?
- Lake Dental Group's National Provider Identifier (NPI) is 1922314210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Dental Group?
- Lake Dental Group is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Dental Group located?
- Lake Dental Group's practice location on file with NPPES is 400 Lake Ave, Racine, WI 53403-1020.
- What is Lake Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Lake Dental Group is (262) 633-0775.
- Who is the authorized official for Lake Dental Group?
- The authorized official listed on Lake Dental Group's NPPES record is Lilly Poole, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Dental Group's NPI active?
- Yes — Lake Dental Group's NPI (1922314210) is active in the NPPES registry as of the last update on 2010-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.