DR. Jake Ryan Mimms, DMD

NPI #1700318060 in Madison, Alabama

Provider Information

NPI Number
1700318060
Entity Type
Individual
Name
DR. Jake Ryan Mimms, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Mar 28, 2017
Last Updated
Jul 17, 2019

Practice Location

Address
8263 MADISON BLVD STE A
State
Alabama
ZIP Code
35758-2051
Phone
(256) 774-7228

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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