Healthcare Provider Details

I. General information

NPI: 1093649295
Provider Name (Legal Business Name): SUNG MIN LIM DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 S COOPER ST
ARLINGTON TX
76010-4105
US

IV. Provider business mailing address

719 CRYSTAL OAK LN
ARLINGTON TX
76005-4613
US

V. Phone/Fax

Practice location:
  • Phone: 817-839-4469
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number42864
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: