Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679801039 Individual Practitioner Male Practitioner

Dr. Kenneth Paul Lim , DDS

Dentist - General Practice • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Lim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Olympia, WA. Practice services are available at 3622 ENSIGN RD NE STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3622 Ensign Rd Ne Ste D

Olympia, WA 985065081

Telephone 3605708016
Fax 3605708275
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Olympia, WA (3345 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

Medical Specialties & State Licenses

CMS Verified: 2025-10-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60459097

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AK 1324

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE60459097

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
DD0046 (AK)
Medicaid State Provider ID
2039082 (WA)

Secondary Practice Locations

418 N Main St

Wasilla, AK 996547018

Phone: 9073732273

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Yongqian Huang , DDS, MSD

Dentist - General Practice

NPI 1083790588

Doctor of Dental Surgery, MSD

Dr. Ghazi Ben Kura , DDS MDS

Dentist - General Practice

NPI 1154297794

DDSMDS

NPI 1326486317
NPI 1528375474

Doctor of Dental Surgery

Dr. Suhaib Borgeia , DDS MS MSD

Dentist - General Practice

NPI 1558010793

DDSMSMSD

Esmeralda Lybrand , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1588710115

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2025

Dentist (License #DE60459097 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2025

Dentist (License #DE60459097 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2025

Dentist (License #DE60459097 in WA)

📍
Updated Practice Location October 28, 2024

Registered at 3622 ENSIGN RD NE STE D, OLYMPIA, WA 985065081 (Tel: 3605708016)

📍
Updated Business Mailing Address October 28, 2024

Registered at 3622 ENSIGN RD NE STE D, OLYMPIA, WA 985065081 (Tel: 3605708016)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Dentist (License #DE60459097 in WA)

NPI Profile Active May 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2012

Registered at 418 N MAIN ST, WASILLA, AK 996547018 (Tel: 9073732273)

📍
Updated Business Mailing Address May 29, 2012

Registered at 418 N MAIN ST, WASILLA, AK 996547018 (Tel: 9073732273)

👤
Provider Name / Credentials Updated May 29, 2012

Recorded as KENNETH LIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2012

Dentist (License #1324 in AK)

🟢
Initial NPI Registration & Enumeration November 24, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679801039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2009
Last Update: October 24, 2025
Sole Proprietor: No

Mailing Address

3622 Ensign Rd Ne Ste D

Olympia, WA 985065081

Phone: 3605708016

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.