Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Campbell Lake Jr., DMD

Individual provider General Practice Dentistry · NPI 1215263017

Dr. John Campbell Lake Jr., DMD is a General Practice Dentistry in Newberry, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2706 Main St
Newberry, SC 29108-4004
Phone: (803) 276-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4593 (SC)

Record details

NPI number1215263017
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 29, 2009
Last updated in NPPESApril 18, 2016

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