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

Dr. Cordell Lake, DDS

Individual provider Dentist · NPI 1255744405

Dr. Cordell Lake, DDS is a Dentist in Farmington, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12 E Harrison St
Farmington, MO 63640-1859
Phone: (573) 756-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2014016814 (MO)

Record details

NPI number1255744405
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 5, 2014
Last updated in NPPESMarch 4, 2019
Mailing address12 E Harrison St, Farmington, MO 63640-1859

Other providers in Farmington