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

Lake Dentistry LLC

Organization Dentist · NPI 1699959528

Lake Dentistry LLC is a Dentist in St Matthews, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

735 Harry C Raysor Dr
St Matthews, SC 29135-0237
Phone: (803) 874-2243
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 02808 (SC)

Record details

NPI number1699959528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarence Lake — Owner · (803) 874-2243
NPI enumeratedDecember 27, 2007
Last updated in NPPESDecember 27, 2007
Mailing address735 Harry C. Raysor Drive, P.O. Box 237, St. Matthews, SC 29135-0237

Other providers in St Matthews