Jake Ryan Mimms, DMD

General Practice Dentistry · Madison, AL

Individual Active NPI

NPI number 1700318060

Practice location

8263 Madison Blvd Ste a
Madison, AL 35758-2051
Phone
(256) 774-7228

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NPI record

NPI
1700318060
Entity type
Individual (Type 1)
Enumeration date
March 28, 2017
Last updated
July 17, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6432 AL
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 875 Union Ave, Memphis, TN 38103-3513 · (901) 448-2242

About Dr. Mimms

Jake Ryan Mimms, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8263 Madison Blvd Ste a, Madison, AL 35758-2051. The NPI number 1700318060 was assigned on March 28, 2017 and the record was last updated on July 17, 2019.

Dr. Mimms lists a license in the registry: #6432 (AL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jake Ryan Mimms, DMD?

The NPI number is 1700318060.

What is the phone number of Dr. Mimms?

The phone number listed for the practice location is (256) 774-7228.

Where is Dr. Mimms located?

8263 Madison Blvd Ste a, Madison, AL 35758-2051.

What is the taxonomy code for Dr. Mimms?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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