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DR. KIMBERLY J LAKE DDS
NPI 1366773517
Dentist - General Practice in Dallas, TX

Active since January 27, 2010
3434 W ILLINOIS AVE, STE 307, DALLAS, TX 75211(817) 689-8656 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly J Lake Dds NPPES

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

DR. KIMBERLY J LAKE DDS (NPI 1366773517) is an individual general practice provider in Dallas, Texas, licensed in Texas (25182) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1366773517
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIMBERLY J LAKECredential: DDS
Location Address3434 W ILLINOIS AVE, STE 307Dallas, TX 75211-8709
Mailing Address430 W Erie St, Ste 200Chicago, IL 60654-6914
Phone(817) 689-8656
Sole ProprietorNo
Enumeration DateJanuary 27, 2010
Last NPPES UpdateOctober 30, 2012
✔ NPI 1366773517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 25182
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3434 W ILLINOIS AVE, Dallas, TX 75211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

HEALTHKWIK TEXAS INC
Clinic/Center (Primary Care)
3434 W ILLINOIS AVE
DALLAS, TX 75211
Dallas County (214) 333-9600
BEHZAD AZAMVAGHEFI DC
Chiropractor
3434 W ILLINOIS AVE
DALLAS, TX 75211
Dallas County (214) 304-2291
DR. AMBER MARIE SMITH DC
Chiropractor
3434 W ILLINOIS AVE
DALLAS, TX 75211
Dallas County (214) 339-9111
DR. LONG NGUYEN D.C
Chiropractor
3434 W ILLINOIS AVE, 118
DALLAS, TX 75211
Dallas County (241) 339-9111
G S EVANS DDS PA
Dentist (Orthodontics and Dentofacial Orthopedics)
3434 W ILLINOIS AVE, SUITE204
DALLAS, TX 75211
Dallas County (214) 337-5200
PARSA DIAGNOSTICS
Chiropractor
3434 W ILLINOIS AVE, STE. 118
DALLAS, TX 75211
Dallas County (214) 339-9111
MUHIBUNNISA SHAIK DDS
Dentist (General Practice)
3434 W ILLINOIS AVE
DALLAS, TX 75211
Dallas County (214) 339-3900
MS. KATHRYN NICOLE GRAY RN, CPNP-PC
Nurse Practitioner (Pediatrics)
3434 W ILLINOIS AVE, 306-3
DALLAS, TX 75211
Dallas County (214) 623-1900

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 Kimberly Lake's NPI number?

The NPI number for Kimberly Lake is 1366773517. It was assigned to this individual provider in the NPPES registry on January 27, 2010.

Where is Kimberly Lake located?

Kimberly Lake practices at 3434 W Illinois Ave Ste 307, Dallas, TX 75211. The listed phone number is (817) 689-8656.

What is Kimberly Lake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kimberly Lake accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Kimberly Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Lake was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.