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

Kimberly Diane Bacon

Individual provider Dental Assistant · NPI 1487891065

Kimberly Diane Bacon is a Dental Assistant in Buena Park, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

8381 La Palma Ave Ste B & C
Buena Park, CA 90620-3271
Phone: (714) 228-9990
Fax: (714) 228-9741
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 54253991003342 (CA)

Record details

NPI number1487891065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2009
Last updated in NPPESJanuary 19, 2009
Mailing address8381 La Palma Ave, Suite B & C, Buena Park, CA 90620-3271

Other providers in Buena Park