Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAKE RYAN MIMMS, DMD
ActiveGeneral Dentistry · MADISON, AL
Registration Details
- NPI Number
- 1700318060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2017 (9.1007669941434 yrs)
- Last Updated
- Jul 17, 2019
- License
-
6432 (AL)
Practice Information
- Address
-
8263 MADISON BLVD STE AMADISON, AL, 357582051Browse AL providers · Browse ZIP 35758
- Phone
- 2567747228
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in MADISON, AL
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD G PORCH | D.M.D. | 1750348959 |
| DR. CHRISTINA H CONGO | DMD | 1174562011 |
| DR. ALBERT H HOLLMANN | DMD | 1073555827 |
| DR. JAMES MICHAEL LEWIS | DMD | 1104932565 |
| DR. PAUL MCINTOSH | DMD | 1548362254 |
| DR. EMILY MCINTOSH | DMD | 1518069228 |
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.