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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHELTON PARK MIMS, D.M.D.

Active Sole Proprietor

DR. SHELTON PARK MIMS, D.M.D. is a Endodontics healthcare provider located in HUNTSVILLE, Alabama. NPI 1124237805 is currently active in the NPPES registry. Verify at CMS.

Endodontics · HUNTSVILLE, AL

Registration Details

NPI Number
1124237805
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2007 (19.19749881788 yrs)
Last Updated
May 21, 2012
License
3879 (AL)
Sole Proprietor
Yes

Practice Information

Address
4101 BALMORAL DR SW
SUITE B
HUNTSVILLE, AL, 358016409
Browse AL providers · Browse ZIP 35801
Phone
2568806556
Fax
2568802945
Primary Specialty
Endodontics
1223E0200X

Other Endodontics Providers in HUNTSVILLE, AL

Name Credential NPI
ANDREW SCOTT HUTTULA DDS 1114906187
DEBORAH S BISHOP D.M.D. 1962582536
DR. MATTHEW P FRIEDT DDS 1952480436
DR. BARTON TIMOTHY BARRETT DMD 1699941559
DR. WILLIAM PAUL MCCRARY D.M.D. 1306087416
DR. BRADLEY S ALLEY D.M.D. 1780819730
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.