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

Edward William Lake DDS PC

Organization Dental Clinic/Center · NPI 1063676369

Edward William Lake DDS PC is a Dental Clinic/Center in Potosi, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

313 E High St
Potosi, MO 63664-1924
Phone: (573) 438-6277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 11627 (MO)

Record details

NPI number1063676369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Lake — President · (573) 438-6277
NPI enumeratedJuly 16, 2008
Last updated in NPPESJuly 16, 2008
Mailing address313 E High St, Potosi, MO 63664-1924