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LAKESIDE DENTAL GROUP
NPI 1457476137
Dentist in Big Bear Lake, CA

Active since March 20, 2007
42002 FOX FARM ROAD #101, BIG BEAR LAKE, CA 92315(909) 866-0606(909) 866-5546 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Dental Group NPPES

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

LAKESIDE DENTAL GROUP (NPI 1457476137) is a healthcare organization registered as a dentist in Big Bear Lake, California and active in the NPI registry since March 2007. The organization lists Phil Jae Ra, Dentist, as its authorized official.

NPPES Registry Identity

NPI1457476137
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRA AND KIM DENTAL CORP
Location Address42002 FOX FARM ROAD #101Big Bear Lake, CA 92315-6951
Mailing AddressPo Box 6951, 42002 Fox Farm Road #101Big Bear Lake, CA 92315-6951 · (909) 866-0606 · Fax (909) 866-5546
Phone(909) 866-0606
Fax(909) 866-5546
Organization SubpartNo
Authorized OfficialPhil Jae RaDentist · (909) 866-0606
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457476137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.

Other Names 1

Doing Business AsLakeside Dental Group

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

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 Ra And Kim Dental Corp's NPI number?

The NPI number for Ra And Kim Dental Corp is 1457476137. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Lakeside Dental Group.

Where is Ra And Kim Dental Corp located?

Ra And Kim Dental Corp is located at 42002 Fox Farm Road #101, Big Bear Lake, CA 92315. The listed phone number is (909) 866-0606.

What is Ra And Kim Dental Corp'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 Ra And Kim Dental Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.