Jim Nasim Dmd PA

NPI #1316315054 in Blacksburg, South Carolina

Provider Information

NPI Number: 1316315054
Entity Type: Organization
Organization Name: Jim Nasim Dmd PA
Primary Specialty: Dentist
Enumeration Date: Sep 11, 2015
Last Updated: Oct 9, 2023

Practice Location

Address: 1119 W CHEROKEE ST
City: Blacksburg
State: South Carolina
ZIP Code: 29702-9221
Phone: (864) 839-0034

Authorized Official

Name: JENNI TOMLINSON
Title: CREDENTIALING SPECIALIST
Phone: (864) 839-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist	122300000X	Primary

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