LAKE FOREST PEDIATRIC DENTISTRY
NPI 1497009831
Dentist - Pediatric Dentistry in Newport Beach, CA

Active since November 07, 2012
2674 SAN MIGUEL DR, NEWPORT BEACH, CA 92660(949) 478-6628 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Forest Pediatric Dentistry NPPES

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

LAKE FOREST PEDIATRIC DENTISTRY (NPI 1497009831) is a healthcare organization registered as a pediatric dentistry in Newport Beach, California and active in the NPI registry since November 2012. The organization lists Keith H Tam, Owner, Dds, as its authorized official.

NPPES Registry Identity

NPI1497009831
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKEITH H TAM DDS INC
Location Address2674 SAN MIGUEL DRNewport Beach, CA 92660-5437
Mailing Address2674 San Miguel Dr Ste CNewport Beach, CA 92660-5437 · (949) 478-6628
Organization SubpartYesParent: Keith Tam Dds Professional Corp
Authorized OfficialKeith H TamOwner, Dds · (949) 322-9778
Enumeration DateNovember 7, 2012
Last NPPES UpdateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1497009831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 57293
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2674 SAN MIGUEL DR, Newport Beach, CA 92660

Other Names 1

Doing Business AsLake Forest Pediatric Dentistry

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 Keith H Tam Dds Inc's NPI number?

The NPI number for Keith H Tam Dds Inc is 1497009831. It was assigned to this organization in the NPPES registry on November 7, 2012. The provider is doing business as Lake Forest Pediatric Dentistry.

Where is Keith H Tam Dds Inc located?

Keith H Tam Dds Inc is located at 2674 San Miguel Dr, Newport Beach, CA 92660. The listed phone number is (949) 478-6628.

What is Keith H Tam Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Keith H Tam Dds Inc was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.