Individual provider · Type 1 NPI
Frederico Diego Medeiros Lima, DDS
Prosthodontics · Tyler, TX
NPI number
1760054688
Active
Practice location
921 Shiloh Rd Ste A100
Tyler, TX 75703-1402
Fax (903) 581-1781
Mailing address
2520 Meadowglen Ct
Tyler, TX 75707-6283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 37076 (TX) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1760054688
Frederico Diego Medeiros Lima, DDS's National Provider Identifier is 1760054688, issued on Jul 12, 2021. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Tyler, TX. The record was last updated on Jul 12, 2021.