Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699261495 Individual Practitioner Male Practitioner

Dr. Kwang Min Lim , DMD

Dentist - General Practice • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kwang Min Lim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Modesto, CA. Practice services are available at 2020 COFFEE RD STE G2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 Coffee Rd Ste G2

Modesto, CA 953552421

Telephone 2094912223
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Modesto, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 102358

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30.24772

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location September 22, 2024

Registered at 2020 COFFEE RD STE G2, MODESTO, CA 953552421 (Tel: 2094912223)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2024

Dentist (License #30.24772 in OH)

📍
Updated Practice Location March 03, 2024

Registered at 90 COPPER COVE DR STE A, COPPEROPOLIS, CA 952289373 (Tel: 2097857171)

📍
Updated Business Mailing Address March 03, 2024

Registered at 4608 OLD MILL CT, SALIDA, CA 953688015

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2024

Dentist (License #102358 in CA)

📍
Updated Practice Location February 25, 2021

Registered at 9184 E STOCKTON BLVD STE B, ELK GROVE, CA 956249510 (Tel: 9166861101)

📍
Updated Business Mailing Address October 28, 2020

Registered at 2300 OAKDALE RD APT 148, MODESTO, CA 953552693

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2020

Dentist (License #30.24772 in OH)

NPI Profile Active July 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2018

Registered at 1429 COLLEGE AVE STE D, MODESTO, CA 953504046 (Tel: 2095275115)

📍
Updated Business Mailing Address July 03, 2018

Registered at 6588 DUCKETTS LN, ELKRIDGE, MD 210756122

👤
Provider Name / Credentials Updated July 03, 2018

Recorded as KWANG MIN LIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2018

Dentist (License #102358 in CA)

🟢
Initial NPI Registration & Enumeration July 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699261495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2018
Last Update: September 22, 2024
Sole Proprietor: Yes

Mailing Address

4608 Old Mill Ct

Salida, CA 953688015

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.