Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821022526 Individual Practitioner Male Practitioner

Dr. Peter Lim , DMD

Dentist • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Peter Lim, DMD is a registered healthcare professional specializing in Dentist in Daytona Beach, FL. Practice services are available at 1845 HOLSONBACK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1845 Holsonback Dr

Daytona Beach, FL 321175114

Telephone 3862740790
Fax 3862740800
Associated Practice Facility / Clinic
🏢 Florida Department Of Health Facility NPI 1831158039

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Daytona Beach, FL (6414 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN11833

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
075608300 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Marjory Quammie , ARNP

Nurse Practitioner - Women's Health

NPI 1063473262

Advanced Registered Nurse Practitioner

NPI 1073572863

Doctor of Medicine (M.D.)

Laginna Morris , RN

Licensed Practical Nurse

NPI 1083674477

Registered Nurse

Brenda Middaugh , ARNP

Nurse Practitioner - Family

NPI 1144289992

Advanced Registered Nurse Practitioner

NPI 1174557870

Doctor of Dental Medicine

Jacie Dascoli , ARNP

Nurse Practitioner - Family

NPI 1194785352

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2012

Registered at 1845 HOLSONBACK DR, DAYTONA BEACH, FL 321175114 (Tel: 3862740790)

📍
Updated Business Mailing Address December 20, 2012

Registered at 1845 HOLSONBACK DR, DAYTONA BEACH, FL 321175114 (Tel: 3862740790)

👤
Provider Name / Credentials Updated December 20, 2012

Recorded as PETER LIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2012

Dentist (License #DN11833 in FL)

🟢
Initial NPI Registration & Enumeration July 10, 2006

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: 1821022526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: December 20, 2012
Sole Proprietor: No

Mailing Address

1845 Holsonback Dr

Daytona Beach, FL 321175114

Phone: 3862740790

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.