Search › Alabama › 1223G0001X
Jake Mimms, DMD
NPI 1700318060 · on the registry since 2017
Practice
- Address
- 8263 Madison Blvd Ste A
Madison, AL 35758 - Phone
- (256) 774-7228
- Clinicians at this address
- 2
Additional practice sites
- 875 Union Ave, Memphis, TN
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama