Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124064803 Individual Practitioner Female Practitioner

Dr. Stephanie Louise Lake , DDS

Dentist • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Lake, DDS is a registered healthcare professional specializing in Dentist in Omaha, NE. Practice services are available at 17110 LAKESIDE HILLS PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17110 Lakeside Hills Plz

Omaha, NE 681305600

Telephone 4027188737
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
240 Specialists

Practicing in Omaha, NE (693 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NE 6558

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. John Haslam , DDS

Dentist - General Practice

NPI 1093331076

Doctor of Dental Surgery

NPI 1124715883
Zachary Noack

Dentist - General Practice

NPI 1275370843
NPI 1679068068
NPI 1821764564

Doctor of Dental Surgery

NPI 1881007185

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 16, 2023

Registered at 17110 LAKESIDE HILLS PLZ, OMAHA, NE 681305600 (Tel: 4027188737)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2023

Dentist (License #6558 in NE)

NPI Profile Active February 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2015

Registered at 10136 MAPLE ST, OMAHA, NE 681345555 (Tel: 4025713415)

📍
Updated Business Mailing Address February 17, 2015

Registered at 2612 N 179TH ST, OMAHA, NE 681162267 (Tel: 4927331325)

👤
Provider Name / Credentials Updated February 17, 2015

Recorded as STEPHANIE LAKE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2015

Dentist (License #6558 in NE)

🟢
Initial NPI Registration & Enumeration June 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124064803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2006
Last Update: June 16, 2023
Sole Proprietor: No

Mailing Address

2612 N 179th St

Omaha, NE 681162267

Phone: 4927331325

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.