Individual provider · Type 1 NPI

Kellie Mims

Dental Hygienist · Memphis, TN

NPI number 1710726922 Active

Practice location

116 N Pauline St
Memphis, TN 38104-1005

Call (901) 523-8990 Map

Mailing address

4625 Bakersfield Dr
Nesbit, MS 38651-6036

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X5320 (TN)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1710726922

Kellie Mims's National Provider Identifier is 1710726922, issued on May 20, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Memphis, TN. The record was last updated on May 20, 2024.