Provider Demographics
NPI:1841375003
Name:CO, DENNIS LIM (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:LIM
Last Name:CO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:763 ALLEGHENY AVENUE
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139
Mailing Address - Country:US
Mailing Address - Phone:412-828-8011
Mailing Address - Fax:412-828-9011
Practice Address - Street 1:763 ALLEGHENY AVENUE
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139
Practice Address - Country:US
Practice Address - Phone:412-828-8011
Practice Address - Fax:412-828-9011
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0288361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA725596OtherUNITED CONCORDIA