Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jake Kim, DDS

Individual provider General Practice Dentistry · NPI 1053981407

Dr. Jake Kim, DDS is a General Practice Dentistry in Lake Dallas, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

507 Jefferson Ln
Lake Dallas, TX 75065-3489
Phone: (703) 477-4659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 39478 (TX)

Record details

NPI number1053981407
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESNovember 24, 2024
Certification dateNovember 24, 2024
Mailing address507 Jefferson Ln, Lake Dallas, TX 75065-3489