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

Jeffrey Michael Lake, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1568901866

Jeffrey Michael Lake, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

123 S Stone Ave
Tucson, AZ 85701-1914
Phone: (520) 798-3384
Fax: (520) 620-1246
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D009660 (AZ)

Record details

NPI number1568901866
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 20, 2017
Last updated in NPPESFebruary 20, 2017
Mailing address123 S Stone Ave, Tucson, AZ 85701-1914

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