NPI 1548644677

Jim Li

Practitioner Dentist Shaw Afb, SC

Practice location

Address: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100
Phone: (803) 895-6960

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 9473991-9921 (UT)

Other Dentist providers in South Carolina →

Registry record

NPI: 1548644677
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2015
Record last updated: 22 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.