| Jim Nasim Dmd Pa | |
|
1119 W Cherokee St Blacksburg SC 29702-9221 | |
| (864) 839-0034 | |
| (864) 839-0064 |
| Full Name | Jim Nasim Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 1119 W Cherokee St, Blacksburg, South Carolina |
| Authorized Official Name and Position | Jenni Tomlinson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8648390034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Nasim Dmd Pa 1119 W Cherokee St Blacksburg SC 29702-9221 Ph: (864) 839-0034 | Jim Nasim Dmd Pa 1119 W Cherokee St Blacksburg SC 29702-9221 Ph: (864) 839-0034 |
| NPI Number | 1316315054 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316315054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2881 (South Carolina) | Secondary |
| 122300000X | Dentist | 2881 (South Carolina) | Primary |
Gentle Dental Care Of Blacksburg Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Pine St, Blacksburg, SC 29702 Phone: 864-839-0034 |