Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA WALLACE MIRRIELEES, DMD
Active Sole ProprietorDR. JESSICA WALLACE MIRRIELEES, DMD is a Dentist healthcare provider located in HANAHAN, South Carolina. NPI 1255666863 is currently active in the NPPES registry. Verify at CMS.
Dentist · HANAHAN, SC
Registration Details
- NPI Number
- 1255666863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2009 (16.648800534963 yrs)
- Last Updated
- May 27, 2021
- Licenses
-
8747 (KY)8672 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
996 TANNER FORD BLVDHANAHAN, SC, 294104780Browse SC providers · Browse ZIP 29410
- Phone
- 8432128810
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in HANAHAN, SC
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN C CHADWICK | DMD | 1972579456 |
| DR. JOHAN I KOLMODIN | DMD | 1497721955 |
| DR. JOSEPH LEMBO | DMD | 1982611695 |
| DR. DANA DURLACH | DMD | 1699030767 |
| DR. RYAN SCOTT ROBINSON | D.M.D. | 1275975641 |
| DR. ELISSA LAUREN TEASDALE | DMD | 1538571005 |
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.