Shaun Hoon Lim, DDS
Individual provider Active NPI General Practice Dentistry · Surprize, AZ
NPI 1003037540 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003037540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7218 (AZ)
- Practice address
- 13856 W. Waddell
Suite 102
Surprize, AZ 85379 - Phone
- (623) 544-8353
- Fax
- (623) 544-8309
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7713 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Teeth - Waddell P.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7218 | AZ | Yes |
| General Practice Dentistry | 1223G0001X | 7713 | CO |
Addresses
Primary practice location
13856 W. Waddell
Suite 102
Surprize, AZ 85379
Mailing address
13856 W. Waddell
Suite 102
Surprize, AZ 85379
Phone (623) 544-8353
Other providers in Surprize, AZ
All providers in Surprize, AZ · General Practice Dentistry in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.