Individual
DR. PETER GENE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4050 WAKE FOREST RD, RALEIGH, NC 27609-6860
(919) 954-2273
(919) 521-5499
Mailing address
4050 WAKE FOREST RD, RALEIGH, NC 27609-6860
(919) 954-2273
(919) 521-5499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN013052
GA
1223G0001X
General Practice Dentistry
Primary
8116
NC
Other
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
Enumeration date
09/27/2006
Last updated
03/07/2023
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