Organization
JIM NASIM DMD PA
Active
Parent organization
JIM NASIM DMD PA
Other names
Hall Street Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
JIM NASIM DMD PA
Authorized official
JENNI TOMLINSON (CREDENTIALING SPECIALIST)
(864) 582-5915
Entity
Organization
Contact information
Practice address
162 HALL ST, SPARTANBURG, SC 29302-1524
(864) 582-5915
(864) 582-1076
Mailing address
162 HALL ST, SPARTANBURG, SC 29302-1524
(864) 582-5915
(864) 582-1076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
2881
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9703
—
SC
Enumeration date
05/30/2008
Last updated
03/04/2024
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