Lake, Jeffrey Michael

Lake, Jeffrey Michael is an individual health care provider with primary practice located at 123 S Stone Ave , Tucson AZ 85701-1914. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Lake, Jeffrey Michael can be contacted via phone (520) 798-3384.

Contact Information

Primary practice address
123 S Stone Ave Tucson AZ 85701-1914
Phone: (520) 798-3384
Fax: (520) 620-1246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D009660 Arizona

Profile Details

NPI number 1568901866
LBN Legal business name Lake, Jeffrey Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2017
Last updated Feb 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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