DR. ROBERT DALE LAKE (NPI# 1568589463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568589463 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DALE LAKE |
| Credential | D.D.S. |
| Practice Address |
16882 Bolsa Chica St Suite 204 Huntington Beach CA 92649-3592 |
| Practice Telephone | 7148462837 |
| Mailing Telephone | 7148462837 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22634 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255445110 | Robert Michael Lake | Dentist | 345 Tachevah Dr, Ste 1, Palm Springs, CA 92262 | 2006-08-18 |
| 1164550018 | Robert Martin Lake | Internal Medicine | 24100 Amador St, Winton Wellness Center, Hayward, CA 94544-1273 | 2007-03-01 |
| 1487696019 | Robert Scott Lake | Internal Medicine | 109 Bee St, Charleston, SC 29401 | 2006-06-11 |
| Street Address |
16882 BOLSA CHICA ST SUITE 204 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92649-3592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538591920 | Jonathan Ip | Dentist | 16882 Bolsa Chica St, Suite 204, Huntington Beach, CA 92649-3592 | 2013-08-07 |
| 1487874343 | Glenn Tetsuo Komae | Dentist | 16882 Bolsa Chica St, Suite 204, Huntington Beach, CA 92649-3592 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639305 | Tanisha Grant | Behavioral Analyst | 4592 Warner Ave, Huntington Beach, CA 92649 | 2020-11-04 |
| 1023582772 | Stanley Wayne Combs | Emergency Medicine | 16761 Edgewater Lane, Huntington Beach, CA 92649 | 2019-01-16 |
| 1609382084 | Loc Do | Pharmacist | 16922 Bolsa Chica, Huntington Beach, CA 92649 | 2017-12-20 |
| 1487166765 | Holly Forman | Marriage & Family Therapist | 17121 Tiffany Circle, Huntington Beach, CA 92649 | 2017-10-26 |
| 1205362522 | Pmh Laboratory Inc | Clinical Medical Laboratory | 5862 Edinger Ave, Huntington Beach, CA 92649 | 2017-05-05 |
| 1972050086 | Clear Reflections Psychol Assocs | Social Worker | 16897 Algonquin St., Ste L, Huntington Beach, CA 92649 | 2016-09-07 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1801253398 | Thierry Kolpin | Psychologist | 5202 Edinger, Huntington Beach, CA 92649 | 2016-01-28 |
| 1811374242 | Margarita Bernardo Velarde | Pediatrics | 17392 Wildrose Lane, Huntington Beach, CA 92649 | 2015-05-06 |
| 1023439809 | Orange County Labs Inc. | Clinical Medical Laboratory | 15165 Triton Ln, Huntington Beach, CA 92649 | 2013-12-23 |
| Find all providers in zip 92649 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907380 | Kevin Thanh Nguyen | Dentist | 17742 Beach Blvd Ste 350, Huntington Beach, CA 92647-6854 | 2020-09-21 |
| 1679182869 | Abrishami Basti Dental Corporation | Dentist | 6552 Bolsa Ave Ste Q, Huntington Beach, CA 92647-2656 | 2020-07-24 |
| 1831707108 | Tiffany Nguyenfa | Dentist | 16987 Roundhill Dr, Huntington Beach, CA 92649-4213 | 2020-07-22 |
| 1477109353 | Kelly S Jin | Dentist | 6612 Silverspur Ln, Huntington Beach, CA 92648-1503 | 2019-08-15 |
| 1164917092 | Antonious Dawood | Dentist | 16171 Tomas Ln, Huntington Beach, CA 92649-2432 | 2018-06-23 |
| 1457861635 | K Whelan Dds Inc | Dentist | 18700 Main St Ste 208, Huntington Beach, CA 92648-1714 | 2017-10-02 |
| 1215450267 | Wynn Shang | Dentist | 21222 Beach Blvd, Huntington Beach, CA 92648-5411 | 2017-07-21 |
| 1326576554 | Alexandria N. Arditti Dds, Dental Corporation | Dentist | 18800 Delaware St Ste 700, Huntington Beach, CA 92648-6018 | 2017-06-01 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1588011373 | Derrick Tuan Pham | Dentist | 19720 Beach Blvd Ste A, Huntington Beach, CA 92648-2987 | 2016-05-21 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92649 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.