JIM NASIM, DMD, PA (NPI# 1447604723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447604723 |
| Entity Type | Organization |
| Organization Name | JIM NASIM, DMD, PA |
| Other Organization Name | LAKELANDS DENTAL ART |
| Practice Address |
112 Townpark Dr Nw Ste 100 Kennesaw GA 30144-3733 |
| Mailing Address |
101 Durst Ave W Greenwood SC 29649-2020 |
| Practice Telephone | 4044101340 |
| Practice Fax Number | 4044101345 |
| Mailing Telephone | 8642296639 |
| Mailing Fax Number | 8649413319 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | MS. JENNIFER A SNOW (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4044101340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Lakelands Dental Art | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901635 | Jim Nasim, Dmd, Pa | Dentist | 2830 Wade Hampton Blvd Ste 5, Taylors, SC 29687-2751 | 2018-05-09 |
| 1720246325 | Jim Nasim, Dmd, Pa | Clinic/Center | 162 Hall St, Spartanburg, SC 29302-1524 | 2008-05-30 |
| Street Address |
112 TOWNPARK DR NW STE 100 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | 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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
| 1942724067 | Suhasini Arun | Dentist | 1815 Old 41 Hwy Nw Ste 310, Kennesaw, GA 30152-4427 | 2017-07-31 |
| 1942748751 | Everest Dental LLC | Dentist | 1955 N Cobb Pkwy Nw, Ste 110, Kennesaw, GA 30152-4503 | 2017-02-01 |
| 1891148441 | Stephanie Fransoso | Dentist | 1610 Ridenour Blvd Nw Ste 103, Kennesaw, GA 30152-4486 | 2016-07-19 |
| 1629444559 | Carolina Dental Docs On-the-go, LLC | Dentist | 112 Townpark Dr Nw, Suite 100, Kennesaw, GA 30144-3731 | 2015-08-14 |
| 1487999165 | Chirag Patel | Dentist | 3525 Busbee Dr Nw Ste 200, Great Expressions Dental Centers, Kennesaw, GA 30144-5677 | 2012-12-06 |
| 1952573883 | Robert Earl Poindexter Jr. | Dentist | 1050 Shiloh Rd, Suite 206, Kennesaw, GA 30144 | 2008-04-01 |
| 1700057478 | Kelly Vaughn Dds PC | Dentist | 1610 Ridenour Blvd Nw, Suite 103, Kennesaw, GA 30152-4484 | 2008-03-20 |
| 1609909522 | Dental One Associates (kennesaw) LLC | Dentist | 2616 George Busbee Pkwy Nw, Kennesaw, GA 30144-4939 | 2007-03-13 |
| 1942368923 | Lan Thanh Vo | Dentist | 600 Chastain Rd Nw, Ste 422, Kennesaw, GA 30144-3004 | 2006-12-04 |
| Find all providers in KENNESAW | ||||
Please comment or provide details below to improve the information on JIM NASIM, DMD, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.