# DR. PETER GENE LIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639260821
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN013052 | GA | — |
| 1223G0001X | General Practice Dentistry | 8116 | NC | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 040-141-04-24 | VA DENTAL LICENSE | VA |
| 01 | — | 4070 | SC DENTAL LICENSE | SC |
| 01 | — | 8116 | NC DENTAL LICENSE | NC |
| 01 | — | DN013052 | GA DENTAL LICENSE | GA |