Dr. Robert Michael Lake, DDS

Dentist in Palm Springs, CA. Individual provider (NPI-1).

NPI number1255445110

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1255445110
Entity type: Individual (NPI-1)
Name: Dr. Robert Michael Lake
Credential: DDS
Sex: Male
Sole proprietor: No
Enumeration date: Aug 18, 2006
Last updated: Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
Medicare opt-out: Dec 2, 2015 to Dec 2, 2027
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
122300000X	Dentist	34359	CA	Yes

Practice location

345 Tachevah Dr
Ste 1
Palm Springs, CA 92262

Phone 760-327-1138 · Fax 760-327-2826

Mailing address

345 Tachevah Dr
Ste 1
Palm Springs, CA 92262

Phone 760-327-1138 · Fax 760-327-2826

Is something wrong?

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Other Dentist providers in Palm Springs, CA

All 30 Dentist providers in Palm Springs · All 2,502 providers in Palm Springs

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