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