# EASLEY DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700144300
- **Authorized official:** DR. MIR JIM NASIM (OWNER)
- **Authorized official phone:** (864) 306-0800

## Contact information

- **Practice address:** 1040 S PENDLETON ST STE C, EASLEY, SC 29642-1047
- **Practice address phone:** (864) 306-0800
- **Mailing address:** 1040 S PENDLETON ST STE C, EASLEY, SC 29642-1047
- **Mailing address phone:** (864) 306-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | SC | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 05/02/2012