Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366773517 Individual Practitioner Female Practitioner

Dr. Kimberly J Lake , DDS

Dentist - General Practice • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Lake, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dallas, TX. Practice services are available at 3434 W ILLINOIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3434 W Illinois Ave
Ste 307

Dallas, TX 752118709

Telephone 8176898656
Associated Practice Facility / Clinic
🏢 Healthkwik Texas Inc Facility NPI 1124134176

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
749 Specialists

Practicing in Dallas, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 25182

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1205483864

Doctor of Chiropractic

NPI 1215448063

Doctor of Chiropractic

NPI 1225434533

Doctor of Chiropractic

Dr. Muhibunnisa Shaik , DDS

Dentist - General Practice

NPI 1477894798

Doctor of Dental Surgery

Kathryn Gray , RN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1508151994

Registered Nurse, CPNPPC

Audrey Larson

Chiropractor

NPI 1821547043

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2012

Registered at 3434 W ILLINOIS AVE, STE 307, DALLAS, TX 752118709 (Tel: 8176898656)

📍
Updated Business Mailing Address October 30, 2012

Registered at 430 W ERIE ST, STE 200, CHICAGO, IL 606546914

👤
Provider Name / Credentials Updated October 30, 2012

Recorded as KIMBERLY LAKE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Dentist (License #25182 in TX)

🟢
Initial NPI Registration & Enumeration January 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366773517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2010
Last Update: October 30, 2012
Sole Proprietor: No

Mailing Address

430 W Erie St, Ste 200

Chicago, IL 606546914

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.