| Dr John Roger Lake Jr, DDS | |
|
1322 Main St, Osterville, MA 02655-1542 | |
| (508) 428-4929 | |
| Not Available |
| Full Name | Dr John Roger Lake Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1322 Main St, Osterville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952326027 | NPI | - | NPPES |
| 0000X06356 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14541 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Roger Lake Jr, DDS 1322 Main St, Osterville, MA 02655-1542 Ph: (508) 428-4929 | Dr John Roger Lake Jr, DDS 1322 Main St, Osterville, MA 02655-1542 Ph: (508) 428-4929 |
Edward P Nelson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Main St, Osterville, MA 02655 Phone: 508-428-3744 Fax: 508-428-8840 | |
Dr. Andrew Percy Nelson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Main St, Osterville, MA 02655 Phone: 508-428-3744 Fax: 508-428-8840 | |
Dr. Robert A. Faiella, D.M.D., M.M.SC. Dentist Medicare: Not Enrolled in Medicare Practice Location: 749 Main St, Suite B, Osterville, MA 02655 Phone: 508-420-1124 Fax: 508-420-0904 |