Jacob S Lake DDS Ltd
NPI 1134389208ActiveOrganization· Dentist, General Practice· Buffalo Grove, IL
Dentist, General Practice in Buffalo Grove, Illinois, registered in NPPES in June 2008. The authorized official on file is Jacob S. Lake, DDS, Owner.
Overview
| NPI | 1134389208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2008 |
| Last updated in NPPES | Dec 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019016208 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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