DR. Jessica Wallace Mirrielees DMD

  • NPI 1255666863
According to our database, the NPI number for DR. Jessica Wallace Mirrielees DMD is 1255666863 and activated since 14 years ago. DR. Jessica Wallace Mirrielees DMD is an individual provider who specializes in Dentist, and the primary practice location is 996 Tanner Ford Blvd, Hanahan, SC 29410. You can also contact DR. Jessica Wallace Mirrielees DMD via telephone number is (843) 212-8810. Provider NPI information was last updated on 05/27/2021.

Recently Active NPIs

Overview of DR. Jessica Wallace Mirrielees DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/15/2009
  • Last updated: 05/27/2021

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 8672
  • License State: SC

Provider Mailing Address

  • Address: 11080 War Admiral Dr
    Union, KY 41091
  • Phone: 859-893-5128
  • Fax:

Provider Practice Location

  • Address: 996 Tanner Ford Blvd
    Hanahan, SC 29410
  • Phone: 843-212-8810
  • Fax:

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 8747
  • License State: KY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 7100176940
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: KY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jessica Wallace Mirrielees DMD?
  • A: The npi number for DR. Jessica Wallace Mirrielees DMD is 1255666863.
  • Q: What are DR. Jessica Wallace Mirrielees DMD's specialties?
  • A: DR. Jessica Wallace Mirrielees DMD's specialties are Dentist and different specialities.
  • Q: What is the medical license for DR. Jessica Wallace Mirrielees DMD?
  • A: The medical license number for DR. Jessica Wallace Mirrielees DMD is 8672 and issued in SC in USA.
  • Q: Where is DR. Jessica Wallace Mirrielees DMD practice location?
  • A: DR. Jessica Wallace Mirrielees DMD is practicing at 996 Tanner Ford Blvd, Hanahan, SC 29410.
  • Q: How to contact DR. Jessica Wallace Mirrielees DMD?
  • A: You can contact DR. Jessica Wallace Mirrielees DMD via 843-212-8810.