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

Lake Road Dental LLC

Organization Dental Clinic/Center · NPI 1174016737

Lake Road Dental LLC is a Dental Clinic/Center in Dillingham, Alaska. 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

4622 Shannon Lake Rd
Dillingham, AK 99576
Phone: (907) 842-2324
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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

Record details

NPI number1174016737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Lucas — Dentist/ Owner · (907) 842-2324
NPI enumeratedJune 8, 2018
Last updated in NPPESJune 8, 2018
Mailing addressPo Box 969, Dillingham, AK 99576-0969