Ella Tin Aye Khine Lim, D.D.S

Dentist · Vallejo, CA

Individual Active NPI

NPI number 1518245604

Practice location

29 Rotary Way
Vallejo, CA 94591-8475
Phone
(707) 554-1764

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NPI record

NPI
1518245604
Entity type
Individual (Type 1)
Enumeration date
July 24, 2011
Last updated
October 12, 2020
Certified
October 12, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 62040 CA
Dentist 122300000X DS038804 PA

Mailing address

1503 Debbi Ct
Martinez, CA 94553-6609
Phone
(858) 200-6631

Other practice locations (1)

  • 3000 L St Ste 205, Sacramento, CA 95816-5248 · (916) 452-1884

About Dr. Lim

Ella Tin Aye Khine Lim, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 29 Rotary Way, Vallejo, CA 94591-8475. The NPI number 1518245604 was assigned on July 24, 2011 and the record was last updated on October 12, 2020.

Dr. Lim lists 2 licenses in the registry: #62040 (CA) for Dentist; #DS038804 (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ella Tin Aye Khine Lim, D.D.S?

The NPI number is 1518245604.

What is the phone number of Dr. Lim?

The phone number listed for the practice location is (707) 554-1764.

Where is Dr. Lim located?

29 Rotary Way, Vallejo, CA 94591-8475.

What is the taxonomy code for Dr. Lim?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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