Jonathan Lee Mims DMD

NPI 1639393846 - Dentist - 1223G0001X

NPI Details
NPI 1639393846
Gender Male
Enumeration Date 04/12/2007
Last Updated 12/29/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
371 WHITNEY RD
SPARTANBURG SC, 29303-3143, US
Phone (864) 515-0485
Fax
Business Location
201 W 8TH ST
SUITE 810
PUEBLO CO, 81003-3038, US
Phone (719) 562-4447
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State South Carolina
License Number 4052
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According to our database, Dr. Jonathan Lee Mims DMD NPI is 1639393846, taxonomy code is 1223G0001X and license number is 4052, license state is located at South Carolina. Jonathan Lee Mims DMD physically located at 371 Whitney Rd, Spartanburg SC, 29303-3143. NPI Number Jonathan Lee Mims DMD has the Individual type.

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1639393846 NPI number is provided on an as is basis without warranty of any kind. 1639393846 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Lee Mims DMD are for informational purposes only.