LAKE FAMILY DENTAL
NPI 1073936084
Dentist in Fort Worth, TX

Q: What is Lake Family And Cosmetic Dentistry's NPI number?

The NPI number for Lake Family And Cosmetic Dentistry is 1073936084. It was assigned to this organization in the NPPES registry on January 27, 2014. The provider is doing business as Lake Family Dental.

Q: What is Lake Family And Cosmetic Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 27, 2014

4968 OVERTON RIDGE BLVD, FORT WORTH, TX 76132(817) 263-0181 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE FAMILY DENTAL (NPI 1073936084) is a healthcare organization registered as a dentist in Fort Worth, Texas and active in the NPI registry since January 2014. The organization lists Kimberly J Lake, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1073936084

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLAKE FAMILY AND COSMETIC DENTISTRY

Location Address4968 OVERTON RIDGE BLVDFort Worth, TX 76132-1909

Mailing Address4968 Overton Ridge BlvdFort Worth, TX 76132-1909 · (817) 263-0181

Phone(817) 263-0181

Organization SubpartNo

Authorized OfficialKimberly J LakeOwner/ President · (817) 263-0181

Enumeration DateJanuary 27, 2014

✔ NPI 1073936084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 25182

Definition

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.

4968 OVERTON RIDGE BLVD, Fort Worth, TX 76132

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Other Names 1

Doing Business AsLake Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKES DENTAL FW PLLC

Dentist

4968 OVERTON RIDGE BLVD
FORT WORTH, TX 76132

Tarrant County (817) 263-0181

DR. STEVEN M HUFFSTUTLER DDS

Dentist (General Practice)

4968 OVERTON RIDGE BLVD
FORT WORTH, TX 76132

Tarrant County (817) 263-0181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Family And Cosmetic Dentistry's NPI number?

The NPI number for Lake Family And Cosmetic Dentistry is 1073936084. It was assigned to this organization in the NPPES registry on January 27, 2014. The provider is doing business as Lake Family Dental.

Where is Lake Family And Cosmetic Dentistry located?

Lake Family And Cosmetic Dentistry is located at 4968 Overton Ridge Blvd, Fort Worth, TX 76132. The listed phone number is (817) 263-0181.

What is Lake Family And Cosmetic Dentistry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lake Family And Cosmetic Dentistry was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.