OrganizationActive
Lake Family and Cosmetic Dentistry
NPI 1073936084 · Dentist · Fort Worth, TX
Lake Family and Cosmetic Dentistry is a Dentist organization in Fort Worth, TX (NPI 1073936084).
Provider details
- NPI number
- 1073936084
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kimberly Lake, Owner/ President(817) 263-0181
- License
- 25182 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4968 Overton Ridge Blvd
Fort Worth, TX 76132-1909
Phone: (817) 263-0181
Street-level locationGet directions
Mailing address
4968 Overton Ridge Blvd
Fort Worth, TX 76132-1909
Other names (DBA / former)
- Doing business as
- Lake Family Dental
Registry dates
- Enumerated
- 2014-01-27
- Last updated
- 2014-01-27
Frequently asked questions
- What is Lake Family and Cosmetic Dentistry's NPI number?
- Lake Family and Cosmetic Dentistry's National Provider Identifier (NPI) is 1073936084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Family and Cosmetic Dentistry?
- Lake Family and Cosmetic Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Family and Cosmetic Dentistry located?
- Lake Family and Cosmetic Dentistry's practice location on file with NPPES is 4968 Overton Ridge Blvd, Fort Worth, TX 76132-1909.
- What is Lake Family and Cosmetic Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Lake Family and Cosmetic Dentistry is (817) 263-0181.
- Who is the authorized official for Lake Family and Cosmetic Dentistry?
- The authorized official listed on Lake Family and Cosmetic Dentistry's NPPES record is Kimberly Lake, Owner/ President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Family and Cosmetic Dentistry's NPI active?
- Yes — Lake Family and Cosmetic Dentistry's NPI (1073936084) is active in the NPPES registry as of the last update on 2014-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.