Jimmie D Hissem, DDS is a
Dentist based in Salem, West Virginia. Jimmie D Hissem is licensed to practice in West Virginia (license number 2134) and his current practice location is
2373 W Main St, Salem, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(324) 782-3393.
NPI number for Jimmie D Hissem is 1083725287 and his current mailing address is Po Box 71, Salem, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083725287.
Healthcare Provider's Profile
| Full Name | Jimmie D Hissem |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 2373 W Main St, Salem, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083725287
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/26/2016
Medical Identifiers
Medical identifiers for Jimmie D Hissem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083725287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2134 (West Virginia) | 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. Jimmie D Hissem is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jimmie D Hissem, DDS
Po Box 71,
Salem, WV 26426
Ph: (324) 752-3393 | Jimmie D Hissem, DDS
2373 W Main St,
Salem, WV 26426-7515
Ph: (324) 782-3393 |
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