Mims, Shelton Park
Mims, Shelton Park is an sole proprietor health care provider with primary practice located at 4101 Balmoral Dr Sw Suite B, Huntsville AL 35801-6409. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Mims, Shelton Park can be contacted via phone (256) 880-6556.Contact Information
Primary practice address
4101 Balmoral Dr Sw Suite B
Huntsville AL 35801-6409
Phone: (256) 880-6556
Fax: (256) 880-2945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 3879 | Alabama |
Profile Details
| NPI number | 1124237805 |
|---|---|
| LBN Legal business name | Mims, Shelton Park |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | May 21st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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