Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cordell Lake, DDS, LLC

Organization Dental Clinic/Center · NPI 1619446077

Cordell Lake, DDS, LLC is a Dental Clinic/Center in Farmington, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 E Harrison St
Farmington, MO 63640-1859
Phone: (573) 756-4344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1619446077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cordell Lake — General Dentist · (816) 728-1630
NPI enumeratedNovember 15, 2018
Last updated in NPPESNovember 15, 2018
Mailing address3145 Cross Creek Dr, Camdenton, MO 65020-9377

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