Dan M Lakeman, DMD
Individual provider Active NPI Dentist · Haleyville, AL
NPI 1679670814 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679670814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4524 (AL)
- Practice address
- 1001 Hwy 13
Haleyville, AL 35565 - Phone
- (205) 486-2731
- Fax
- (205) 485-8584
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4524 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan M Lakeman, DMD, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4524 | AL | Yes |
Addresses
Primary practice location
1001 Hwy 13
Haleyville, AL 35565
Mailing address
1001 Hwy 13
Haleyville, AL 35565
Phone (205) 486-2731
Other providers in Haleyville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.