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JIM NASIM DMD PA NPI 1720246325


NPI Information

NPI: 1720246325
Provider Name: JIM NASIM DMD PA

Doing Business As: HALL STREET FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
162 HALL ST
SPARTANBURG, SC
ZIP 29302
Phone: (864) 582-5915
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes
2261QD0000XClinic/CenterDental2881SOUTH CAROLINANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZA9703MEDICAIDSOUTH 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: 4/28/2024

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