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DR. KENNETH PAUL LIM D.D.S.
NPI 1679801039
Dentist - General Practice in Olympia, WA

Active since November 24, 2009
3622 ENSIGN RD NE STE D, OLYMPIA, WA 98506(360) 570-8016(360) 570-8275 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Feb 3, 2025 (2 updates tracked since 2025).

About Dr. Kenneth Paul Lim D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH PAUL LIM D.D.S. (NPI 1679801039) is an individual general practice provider in Olympia, Washington, licensed in Washington (DE60459097) and active in the NPI registry since November 2009. He maintains a secondary practice location in Wasilla.

NPPES Registry Identity

NPI1679801039
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH PAUL LIMCredential: D.D.S.
Location Address3622 ENSIGN RD NE STE DOlympia, WA 98506-5081
Mailing Address3622 Ensign Rd Ne Ste DOlympia, WA 98506-5081 · (360) 570-8016 · Fax (360) 570-8275
Phone(360) 570-8016
Fax(360) 570-8275
Sole ProprietorNo
Enumeration DateNovember 24, 2009
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1679801039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WA · DE60459097✔ Licensed in AK · 1324
Definition

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.

Also ListedDentistTaxonomy 122300000X · License DE60459097 (WA)
3622 ENSIGN RD NE STE D, Olympia, WA 98506
Open in Google Maps ↗

Secondary Practice Location 1

Location 1418 N Main StWasilla, AK 99654-7018 · Phone (907) 373-2273 · Fax (907) 373-8456

Other Identifiers 2

MedicaidDD0046AK
Medicaid2039082WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GHAZI MAHMOUD BEN KURA DDS MDS
Dentist (General Practice)
3622 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Thurston County (360) 570-8016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Lim's NPI number?

The NPI number for Kenneth Lim is 1679801039. It was assigned to this individual provider in the NPPES registry on November 24, 2009.

Where is Kenneth Lim located?

Kenneth Lim practices at 3622 Ensign Rd NE Ste D, Olympia, WA 98506. The listed phone number is (360) 570-8016.

What is Kenneth Lim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kenneth Lim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kenneth Lim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Lim was last updated on October 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.