JIM NASIM DMD PA NPI 1720246325

NPI Information

NPI: 1720246325
Provider Name: JIM NASIM DMD PA
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: HALL STREET FAMILY DENTAL
Address: 162 HALL ST
SPARTANBURG, SC
ZIP 29302
Phone: (864) 582-5915

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NPI Details

JIM NASIM DMD PA is a general practice dentist in Spartanburg, SC. The provider is 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. JIM NASIM DMD PA NPI is 1720246325. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hall Street Family Dental.

The provider's business location address is:

162 HALL ST
SPARTANBURG, SC
ZIP 29302-524
Phone: (864) 582-5915
Fax: (864) 582-1076

The provider's authorized official is Jenni Tomlinson .
The authorized official title is Credentialing Specialist and has the following contact phone number (864) 582-5915.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 3/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			Yes
2	261QD0000X	Clinic/Center	Dental	2881	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZA9703	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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