Dr Jonathan Lee Mims, DMD - Medicare Dentist in Spartanburg, SC

Dr Jonathan Lee Mims, DMD is a medicare enrolled "Dentist - General Practice" provider in Spartanburg, South Carolina. His current practice location is 371 Whitney Rd, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 515-0485.

Dr Jonathan Lee Mims is licensed to practice in South Carolina (license number 4052) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639393846.

Contact Information

Dr Jonathan Lee Mims, DMD
371 Whitney Rd,
Spartanburg, SC 29303-3143
(864) 515-0485
Not Available



Healthcare Provider's Profile

Full NameDr Jonathan Lee Mims
GenderMale
SpecialityDentist - General Practice
Location371 Whitney Rd, Spartanburg, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639393846
  • Provider Enumeration Date: 04/12/2007
  • Last Update Date: 12/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7810287752
  • Enrollment ID: I20160603002114

Medical Identifiers

Medical identifiers for Dr Jonathan Lee Mims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639393846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4052 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Lee Mims is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jonathan Lee Mims, DMD
201 W 8th St, Suite 810,
Pueblo, CO 81003-3038

Ph: (719) 562-4447
Dr Jonathan Lee Mims, DMD
371 Whitney Rd,
Spartanburg, SC 29303-3143

Ph: (864) 515-0485

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› Verified 3 days ago


Dentist in Spartanburg, SC

Dr. Harold James Colburn, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1410 John B White Sr Blvd # A, Spartanburg, SC 29306
Phone: 864-574-5297    
William Alexander Marshall, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 319 N Pine St, Suite 5, Spartanburg, SC 29302
Phone: 864-585-8709    
Joanna Bauer, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 108 Burton St, Spartanburg, SC 29301
Phone: 864-576-7169    
Dr. William Miller Edwards, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 154 Country Club Rd, Spartanburg, SC 29302
Phone: 864-582-0332    Fax: 864-582-2263
Dr. Donald G Gregory, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 975 North Church Street, Spartanburg, SC 29303
Phone: 864-582-4308    Fax: 864-596-4492
Dr. Robert Ben Culp Iii, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1627 John B White Sr Blvd, Spartanburg, SC 29301
Phone: 864-574-5065    
Dr. Lawrence Gary Miller Jr., D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 263 California Ave, Spartanburg, SC 29303
Phone: 864-699-9931    Fax: 864-699-9932

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