LAKE FAMILY DENTISTRY PC NPI 1275804312

NPI Information

  • NPI: 1275804312
  • Provider Name: LAKE FAMILY DENTISTRY PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: LAKE FAMILY DENTISTRY
  • Address: 296 LAKE AVE
    COLONIA, NJ
    ZIP 07067
  • Phone: (732) 388-2822

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NPI Details

LAKE FAMILY DENTISTRY PC is a dental clinic center in Colonia, NJ. LAKE FAMILY DENTISTRY PC NPI is 1275804312. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Family Dentistry.

The provider's business location address is:

296 LAKE AVE
COLONIA, NJ
ZIP 07067-201
Phone: (732) 388-2822
Fax: (732) 388-3115

The provider's authorized official is Danish Qadri .
The authorized official title is President and has the following contact phone number (732) 388-2822.

The enumeration date for this NPI number is 1/21/2012 and was last updated on 1/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental22DI02351300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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