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DR. JESSICA WALLACE MIRRIELEES DMD
NPI 1255666863
Dentist in Hanahan, SC

Active since October 15, 2009
996 TANNER FORD BLVD, HANAHAN, SC 29410(843) 212-8810 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessica Wallace Mirrielees Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA WALLACE MIRRIELEES DMD (NPI 1255666863) is an individual dentist in Hanahan, South Carolina, licensed in South Carolina (8672) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1255666863
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JESSICA WALLACE MIRRIELEESCredential: DMD
Location Address996 TANNER FORD BLVDHanahan, SC 29410-4780
Mailing Address11080 War Admiral DrUnion, KY 41091-7920 · (859) 893-5128
Phone(843) 212-8810
Sole ProprietorYes
Enumeration DateOctober 15, 2009
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1255666863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in SC · 8672✔ Licensed in KY · 8747
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
996 TANNER FORD BLVD, Hanahan, SC 29410
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Other Identifiers 1

Medicaid7100176940KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Dentist
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 818-5437
DR. BENJAMIN LAPKE COENEN DDS
Dentist (Oral and Maxillofacial Surgery)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 973-8236
DR. JUSTINE QUINN GULLIA DDS
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 212-8810
BAILEY DUFFY DMD
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 818-5437
DR. SARAH AYFER OZTURK TORKIAN DMD
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 483-5050
DR. SHMUEL DABUSH DDS
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 212-8810
DR. JULIETTE CATHERINE MANN DMD
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (360) 317-8252
DR. GAINES W HAMMOND III DMD
Dentist (General Practice)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 483-5947

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Mirrielees's NPI number?

The NPI number for Jessica Mirrielees is 1255666863. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Jessica Mirrielees located?

Jessica Mirrielees practices at 996 Tanner Ford Blvd, Hanahan, SC 29410. The listed phone number is (843) 212-8810.

What is Jessica Mirrielees's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jessica Mirrielees accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 1 other insurer list Jessica Mirrielees as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Mirrielees was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.