DR. JOONBUM LIM DDS MSC NPI 1780140855

NPI Information

  • NPI: 1780140855
  • Provider Name: DR. JOONBUM LIM, DDS MSC
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1105 WESTCHESTER HALL
    DEPARTMENT OF PROSTHODONTICS AND DIGITAL TECHNOLOGY
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 632-3161

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NPI Details

DR. Joonbum Lim, DDS MSC is a student in an organized health care education training program in Stony Brook, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Joonbum Lim, DDS MSC NPI is 1780140855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1105 WESTCHESTER HALL
DEPARTMENT OF PROSTHODONTICS AND DIGITAL TECHNOLOGY
STONY BROOK, NY
ZIP 11794-712
Phone: (631) 632-3161
Fax: (631) 632-3961

The enumeration date for this NPI number is 2/14/2019 and was last updated on 2/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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