Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAKE KIM, DDS
ActiveDR. JAKE KIM, DDS is a General Dentistry healthcare provider located in LAKE DALLAS, Texas. NPI 1053981407 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LAKE DALLAS, TX
Registration Details
- NPI Number
- 1053981407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2021 (5.1453960836884 yrs)
- Last Updated
- Nov 24, 2024
- License
-
39478 (TX)
Practice Information
- Address
-
507 JEFFERSON LNLAKE DALLAS, TX, 750653489Browse TX providers · Browse ZIP 75065
- Phone
- 7034774659
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.