Active NPI
Jaehyun Lim, D.D.S.
- General Practice Dentistry
- Augusta, ME
National Provider Identifier
1366122830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN5399
- Practice address
- 25 Stone Street
Gentle Family Dentistry
Augusta, ME 04330 - Phone
- (207) 622-9210
- NPI assigned
- Jul 20, 2023
- Reactivated
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DEN5399 | ME | Primary |
Addresses
Primary practice location
25 Stone Street
Gentle Family Dentistry
Augusta, ME 04330
Mailing address
5 Conway Street
Unit 205
Freeport, ME 04032
Phone (917) 582-6791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1366122830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CONWAY STREET",
"address_2": "UNIT 205",
"city": "FREEPORT",
"state": "ME",
"postal_code": "04032",
"telephone_number": "917-582-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 STONE STREET",
"address_2": "GENTLE FAMILY DENTISTRY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "04330",
"telephone_number": "207-622-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JAEHYUN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"deactivation_date": "2024-05-24",
"reactivation_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "DEN5399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.