Individual provider · Type 1 NPI

Jake Ryan Mimms, DMD

General Practice Dentistry · Madison, AL

NPI number 1700318060 Active

Practice location

8263 Madison Blvd Ste A
Madison, AL 35758-2051

Other practice locations

  • 875 Union Ave, Memphis, TN 38103-3513 · (901) 448-2242

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X6432 (AL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1700318060

Jake Ryan Mimms, DMD's National Provider Identifier is 1700318060, issued on Mar 28, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Madison, AL. The record was last updated on Jul 17, 2019.