| Dr Jessica Wallace Mirrielees, DMD | |
|
996 Tanner Ford Blvd, Hanahan, SC 29410-4780 | |
| (843) 212-8810 | |
| Not Available |
| Full Name | Dr Jessica Wallace Mirrielees |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 996 Tanner Ford Blvd, Hanahan, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255666863 | NPI | - | NPPES |
| 7100176940 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8747 (Kentucky) | Secondary |
| 122300000X | Dentist | 8672 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Wallace Mirrielees, DMD 11080 War Admiral Dr, Union, KY 41091-7920 Ph: (859) 893-5128 | Dr Jessica Wallace Mirrielees, DMD 996 Tanner Ford Blvd, Hanahan, SC 29410-4780 Ph: (843) 212-8810 |
Dr. John Swygert Timmerman Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1024 Dennis Dr, Hanahan, SC 29410 Phone: 843-747-0645 | |
Dr. Benjamin Lapke Coenen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 996 Tanner Ford Blvd, Hanahan, SC 29410 Phone: 843-973-8236 | |
Isabel Ghowanlu Driggers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Tanner Ford Blvd, Suite 370, Hanahan, SC 29410 Phone: 843-818-5437 Fax: 843-725-1594 | |
Dr. Ryan Scott Robinson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1281 Yeamans Hall Rd, Hanahan, SC 29410 Phone: 843-554-9332 Fax: 843-554-1525 | |
Dr. Alvin Weatherford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1224 Yeamans Hall Rd, Hanahan, SC 29410 Phone: 843-554-4545 Fax: 843-554-4548 | |
Dr. Kjersti Damsker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Tanner Ford Blvd., Hanahan, SC 29410 Phone: 843-818-5437 Fax: 843-797-2559 |