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Lake Dental Group

Dentist in Racine, WI · enumerated 2010 · authorized official Lilly Poole, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922314210

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Dental Group
Practice address 400 Lake Ave, Racine, WI, 53403
Phone (262) 633-0775
Enumeration date Aug 24, 2010
Last updated in NPPES Aug 24, 2010

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Lilly Poole
Title Office Manager
Phone (262) 633-0775

Other identifiers

Identifier Type State Issuer
33605400 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lake Dental Group?
The NPI for Lake Dental Group is 1922314210, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Dental Group?
NPPES lists Lilly Poole (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-24.