Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jiwon Lim, DMD, MPH

Individual provider General Practice Dentistry · NPI 1417573312

Jiwon Lim, DMD, MPH is a Dentist in Charlottesville, Virginia. Graduated from East Carolina University School of Dentistry in 2021, 5 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
5
Trained at
East Carolina University School of Dentistry
Licensed in
NC, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Phone: (434) 924-1774
Fax: (434) 982-6417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0411000075 (VA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11867 (NC)
Oral Medicine Dentistry Taxonomy 125Q00000X · Licence 0411000075 (VA)

Record details

NPI number1417573312
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MPH
Sole proprietorYes
NPI enumeratedJune 17, 2020
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing addressPo Box 749112, Atlanta, GA 30374-9112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolEAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2021 (5 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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