Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN POLK WIMER, D.M.D
Active Sole ProprietorDR. JONATHAN POLK WIMER, D.M.D is a General Dentistry healthcare provider located in SUMMERVILLE, South Carolina. NPI 1629125562 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1629125562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2007 (19.588498104826 yrs)
- Last Updated
- Jan 24, 2020
- License
-
SC4001 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
176 TYVOLA DRIVESUMMERVILLE, SC, 29485Browse SC providers · Browse ZIP 29485
- Phone
- 8438324560
- Fax
- 8438324214
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SUMMERVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT GUSTAVUS BEEBE JR. | DMD | 1700882032 |
| DR. CHRISTOPHER D OLIVER | D.M.D. | 1710969845 |
| DR. LYNDA DENISE GROSSMAN | D.D.S. | 1245202159 |
| JEANINE ALICIA GOURDINE | D.M.D. | 1427014786 |
| DR. JESSE WOODROW MCELVEEN JR. | DMD | 1568420933 |
| DR. GORDON ROUX DAWSON | DMD | 1659329548 |
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.