The size of current microwave-driven UV lamps limits their direct application in dental light curing. This article proposes a coaxial structure to miniaturize the UV lamp. First, the Drude model and the finite difference time domain algorithm were used to analyze the multi-physical field coupling and the complex field distribution within the lamp. Second, the dimensional parameters of the lamp were optimized, which enabled the lamp to be miniaturized and operate with high performance. Third, to analyze the sensitivity of the lamp, the effects of input power, gas pressure, and gas composition on its performance were investigated. It was found that an input power of 6 watts was enough to light the bulb with over 90% energy utilization. Finally, to verify the feasibility, an experimental system was set up. The lamp was successfully lit in the experiment, and its spectral output was tested. The results show that the microwave-driven UV lamp based on a coaxial structure is miniaturized and broad-spectrum, making it suitable for clinical dental light curing.