John F Lake DDS & Deborah Starr
Dentist, General Practice in Ontario, OR. Organization (NPI-2).
NPI number1487862009
StatusActive
Last updated in NPPESJan 26, 2016
Details
- NPI
- 1487862009
- Entity type
- Organization (NPI-2)
- Legal business name
- John F Lake DDS & Deborah Starr
- Organization subpart
- No
- Enumeration date
- May 18, 2007
- Last updated
- Jan 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
286 Sw 4th StOntario, OR 97914-2610
Phone 541-889-7050 · Fax 541-889-6495
Mailing address
286 Sw 4th StOntario, OR 97914-2610
Phone 541-889-7050 · Fax 541-889-6495
Authorized official
John F Lake
President
5418897050
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Other General Practice Dentistry providers in Ontario, OR
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- Summer Vandala Furrer, DDSNPI 1376475046
- John F Lake, DDSNPI 1619081031
- Abigail Jackie Mohamed, DDSNPI 1053797746
- Benjamin T Peterson, DDSNPI 1720159080
- Deborah Starr Lake, DDSNPI 1750495180
- Joshua Colt Sweeten, DDSNPI 1780097634
- Rhett M Tipton, D.M.D.NPI 1578586194
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All 14 General Practice Dentistry providers in Ontario · All 767 providers in Ontario
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