Mark S. Lake, D.D.S.
NPI 1356479539ActiveIndividual· Dentist, General Practice· Osage Beach, MO
Dentist, General Practice (D.D.S.) in Osage Beach, Missouri, licensed in MO, with an NPI issued in March 2007. Part D covered 174 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1356479539 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | Mar 1, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2006014707 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (MO) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 174 · 178 30-day fills |
|---|---|
| Patients | 89 |
| Total drug cost | $600.79 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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