DR. ELIZABETH GA YEUN KIM D.D.S.
NPI 1316495112
Dentist in Lake Forest, CA

Active since September 21, 2016
22611 LAKE FOREST DR STE C5, LAKE FOREST, CA 92630(949) 446-0700 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2018, Oct 20, 2016, Sep 21, 2016 (3 updates tracked since 2016).

About Dr. Elizabeth Ga Yeun Kim D.d.s. NPPES

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

DR. ELIZABETH GA YEUN KIM D.D.S. (NPI 1316495112) is an individual dentist in Lake Forest, California, licensed in California (100655) and active in the NPI registry since September 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316495112
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ELIZABETH GA YEUN KIMCredential: D.D.S.
Location Address22611 LAKE FOREST DR STE C5Lake Forest, CA 92630
Mailing Address22611 Lake Forest Dr Ste C5Lake Forest, CA 92630-1700 · (949) 446-0700
Sole ProprietorNo
Enumeration DateSeptember 21, 2016
Last NPPES UpdateNovember 12, 20183 updates tracked since enumeration
NPI 1316495112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 100655
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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 100655 (CA)
22611 LAKE FOREST DR STE C5, Lake Forest, CA 92630

Secondary Practice Locations 2

Location 11955 Lake AveAltadena, CA 91001-3037 · Phone (626) 585-9544
Location 2262 S Glassell StOrange, CA 92866-1918 · Phone (714) 288-0058

Accepted Insurance

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
22611 LAKE FOREST DR STE C5
LAKE FOREST, CA 92630
Clinic/Center (Dental)
22611 LAKE FOREST DR STE C5
LAKE FOREST, CA 92630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316495112, enumerated as an "individual" on September 21, 2016.

The provider is located at 22611 LAKE FOREST DR STE C5 LAKE FOREST, CA 92630 and the phone number is (949) 446-0700.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.