Individual provider · Type 1 NPI

Jessica Wallace Mirrielees, DMD

Dentist · Hanahan, SC

NPI number 1255666863 Active

Practice location

996 Tanner Ford Blvd
Hanahan, SC 29410-4780

Mailing address

11080 War Admiral Dr
Union, KY 41091-7920

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X8747 (KY)
Dentist Primary 122300000X8672 (SC)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1255666863

Jessica Wallace Mirrielees, DMD's National Provider Identifier is 1255666863, issued on Oct 15, 2009. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Hanahan, SC. The record was last updated on May 27, 2021.