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

Dr. Kevin Joseph Lake, DMD

Individual provider Dentist · NPI 1083638399

Dr. Kevin Joseph Lake, DMD is a Dentist in New Providence, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
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

5 Ethan Dr
New Providence, NJ 07974-1604
Phone: (908) 464-5270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02044100 (NJ)

Record details

NPI number1083638399
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007

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