Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417573312 Individual Practitioner Female Practitioner

Dr. Jiwon Lim , DMD, MPH

Dentist • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jiwon Lim, DMD, MPH is a certified Dentist practicing in Charlottesville, VA. With approximately 5 years of clinical experience since graduating from East Carolina University School Of Dentistry in 2021, Dr. Lim delivers high-quality medical care to the local community at 1222 JEFFERSON PARK AVE.

Dr. Lim is affiliated with University Of Virginia Physicians Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1222 Jefferson Park Ave

Charlottesville, VA 229033410

Telephone 4349241774
Fax 4349826417
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

East Carolina University School Of Dentistry

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Charlottesville, VA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -8.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Charlottesville, VA (2514 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lim (5 Years) 5 Yrs
Charlottesville Specialty Average (13.0 Years) 13.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0411000075

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NC 11867

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Oral Medicinist

NUCC Taxonomy Code: 125Q00000X

State License VA 0411000075

A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.

Hospital & Practice Group Affiliations

University Of Virginia Physicians Group

1222 Jefferson Park Ave, Charlottesville, VA 229080740

Phone: 4349241774

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1023222346

Doctor of Dental Surgery

Sara Meade

Student in an Organized Health Care Education/Training Program

NPI 1023964905
NPI 1114062726

Doctor of Dental Surgery

Lily Nguyen

Student in an Organized Health Care Education/Training Program

NPI 1265938195
NPI 1285081794
NPI 1336707835

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location April 09, 2025

Registered at 1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 229033410 (Tel: 4349241774)

📍
Updated Business Mailing Address April 09, 2025

Registered at PO BOX 749112, ATLANTA, GA 303749112 (Tel: 4342951000)

👤
Provider Name / Credentials Updated April 09, 2025

Recorded as JIWON LIM, DMD, MPH

📍
Updated Practice Location June 28, 2023

Registered at 10 CENTER DR, BETHESDA, MD 208923825 (Tel: 3018277759)

📍
Updated Business Mailing Address June 28, 2023

Registered at 7700 MARITIME LN, SPRINGFIELD, VA 221531630 (Tel: 3366922211)

📍
Updated Practice Location December 01, 2022

Registered at 1601 ABBEY PL STE 220, CHARLOTTE, NC 282093825 (Tel: 7045122110)

📍
Updated Business Mailing Address December 01, 2022

Registered at 1415 ABBEY PL APT 105, CHARLOTTE, NC 282093064 (Tel: 3366922211)

NPI Profile Active June 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2020

Registered at 1500 E MEDICAL CENTER DR FL 2C213, ANN ARBOR, MI 481095000 (Tel: 7349365950)

📍
Updated Business Mailing Address June 18, 2020

Registered at 1107 NIELSEN CT APT 6, ANN ARBOR, MI 481051945 (Tel: 3366922211)

👤
Provider Name / Credentials Updated June 18, 2020

Recorded as JIWON LIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2020

Dentist (License #11867 in NC)

🟢
Initial NPI Registration & Enumeration June 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jiwon Lim. Be the first to share your experience!

Sign in to leave a review for Dr. Jiwon Lim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417573312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2020
Last Update: April 09, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 749112

Atlanta, GA 303749112

Phone: 4342951000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.