Dr. Shelton Park Mims
Endodontist
4101 Balmoral Dr Sw Suite B
Huntsville
, Alabama 35801-6409
Dr. Shelton Park Mims
Endodontist
4101 Balmoral Dr Sw Suite B
Huntsville
, Alabama 35801-6409
(256) 880-2945
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Shelton Park Mims
- 4101 Balmoral Dr Sw Suite B
- Huntsville, AL
- Zip : 35801-6409
- Fax : (256) 880-2945
- Phone : (256) 880-6556
Second Address
- Dr. Shelton Park Mims
- 4101 Balmoral Dr Sw Suite B
- Huntsville, AL
- Zip : 35801-6409
- Fax : (256) 880-2945
- Phone : (256) 880-6556
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Is Dr. Shelton Park Mims a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 3879 | AL |
National Provider Identifier
| NPI | 1124237805 |
|---|---|
| Provider Name | Dr. Shelton Park Mims |
| First Address | Huntsville, AL 35801-6409 |
| Second Address | Huntsville, AL 35801-6409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 21/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.