Hyo J Lim, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS031106L Issued in PA

Practice address

216 Mall Blvd
Suite #11
King of Prussia, PA 19406-2923

Phone

(610) 265-4485

Fax

(610) 265-4486

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508918871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MALL BLVD",
            "address_2": "SUITE #11",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062923",
            "telephone_number": "610-265-4485",
            "fax_number": "610-265-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MALL BLVD",
            "address_2": "SUITE #11",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062923",
            "telephone_number": "610-265-4485",
            "fax_number": "610-265-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "HYO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031106L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Licciardone, MS, BCBA
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• Dylan Jakob Lisnow
• Julia Rose Litrenta

• General Practice Dentistry in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.