Jiwon Lim, DMD, MPH

Dentist · Charlottesville, VA

Individual Active NPI

NPI number 1417573312

Practice location

1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Phone
(434) 924-1774
Fax
(434) 982-6417

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NPI record

NPI
1417573312
Entity type
Individual (Type 1)
Enumeration date
June 17, 2020
Last updated
April 9, 2025
Certified
April 9, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0411000075 VA
General Practice Dentistry 1223G0001X 11867 NC
Oral Medicine Dentistry 125Q00000X 0411000075 VA

Mailing address

PO Box 749112
Atlanta, GA 30374-9112
Phone
(434) 295-1000

About Dr. Lim

Jiwon Lim, DMD, MPH is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410. The NPI number 1417573312 was assigned on June 17, 2020 and the record was last updated on April 9, 2025.

Dr. Lim lists 3 licenses in the registry: #0411000075 (VA) for Dentist; #11867 (NC) for General Practice Dentistry; #0411000075 (VA) for Oral Medicine Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jiwon Lim, DMD, MPH?

The NPI number is 1417573312.

What is the phone number of Dr. Lim?

The phone number listed for the practice location is (434) 924-1774.

Where is Dr. Lim located?

1222 Jefferson Park Ave, Charlottesville, VA 22903-3410.

What is the taxonomy code for Dr. Lim?

The primary taxonomy code is 122300000X – Dentist; 2 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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