JIWON LIM (NPI# 1417573312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417573312 |
| Entity Type | Individual |
| Full Name | JIWON LIM |
| Credential | DMD |
| Practice Address |
1500 E Medical Center Dr Fl 2c213 Ann Arbor MI 48109-5000 |
| Mailing Address |
1107 Nielsen Ct Apt 6 Ann Arbor MI 48105-1945 |
| Practice Telephone | 7349365950 |
| Mailing Telephone | 3366922211 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2951000807 | MI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
11867 | NC | Dental Providers |
| Street Address |
1500 E MEDICAL CENTER DR FL 2C213 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989341 | Steven Joseph Quell | Dentist | 3100 E Eisenhower Pkwy Ste 300, Ann Arbor, MI 48108-5205 | 2020-07-19 |
| 1699383695 | Laurich Dentistry Ann Arbor Pllc | Dentist | 2715 Packard St Ste B, Ann Arbor, MI 48108-3365 | 2020-07-16 |
| 1518582337 | Emma Jean Mattei | Dentist | 2920 Tepeyac Hill Dr, Ann Arbor, MI 48105-9388 | 2020-06-09 |
| 1053935155 | Elijah Noronha | Dentist | 4814 Washtenaw Ave Apt B5, Ann Arbor, MI 48108-1446 | 2020-06-04 |
| 1114572609 | Chandani Patel | Dentist | 1250 Horseshoe Cir Apt 106, Ann Arbor, MI 48108-2424 | 2019-08-02 |
| 1215422266 | Lucy Marie Johnson | Dentist | Va Health Ann Arbor Dental Service, 2215 Fuller Road, Ann Arbor, MI 48105-2303 | 2018-06-22 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1003339391 | Celia Sommer | Dentist | 1011 North University Ave, Ann Arbor, MI 48109-1078 | 2017-07-19 |
| 1952823346 | Claudia M Varvara | Dentist | 811 E Summerfield Glen Circle, Ann Arbor, MI 48103-9161 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.