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Kimberly Lake, DDS
NPI 1366773517 · General Practice Dentistry · Dallas, TX
Kimberly Lake, DDS is a General Practice Dentistry provider in Dallas, TX (NPI 1366773517).
Provider details
- NPI number
- 1366773517
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 25182 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
3434 W Illinois Ave
Ste 307
Dallas, TX 75211-8709
Phone: (817) 689-8656
Street-level locationGet directions
Mailing address
430 W Erie St
Chicago, IL 60654-6914
Registry dates
- Enumerated
- 2010-01-27
- Last updated
- 2012-10-30
Frequently asked questions
- What is Kimberly Lake's NPI number?
- Kimberly Lake's National Provider Identifier (NPI) is 1366773517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Lake's specialty?
- Kimberly Lake is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kimberly Lake located?
- Kimberly Lake's practice location on file with NPPES is 3434 W Illinois Ave, Dallas, TX 75211-8709.
- What is Kimberly Lake's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Lake is (817) 689-8656.
- Is Kimberly Lake's NPI active?
- Yes — Kimberly Lake's NPI (1366773517) is active in the NPPES registry as of the last update on 2012-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.