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JIM LI
NPI 1548644677
Dentist in Shaw Afb, SC

Active since July 18, 2015
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152(803) 895-6960 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jim Li NPPES

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

JIM LI (NPI 1548644677) is an individual dentist in Shaw Afb, South Carolina, licensed in Utah (9473991-9921) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1548644677
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJIM LI
Location Address420 POLIFKA DR BLDG 1042Shaw Afb, SC 29152-5100
Mailing Address420 Polifka Dr Bldg 1042Shaw Afb, SC 29152-5100
Phone(803) 895-6960
Sole ProprietorYes
Enumeration DateJuly 18, 2015
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1548644677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 9473991-9921
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.
420 POLIFKA DR BLDG 1042, Shaw Afb, SC 29152
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Other Providers at the Same Location NPPES 20

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

DANIEL BRYCE PETERSEN D.M.D.
Dentist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6951
CODY K DARRINGTON DO
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-2273
REBECCA SARAH SLOGIC M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
DR. ANGELIQUE STACEY ANN FORRESTER MD
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (038) 956-2458
DR. JEFFREY ALLAN BANKS M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
JOHN ALAN BARNETT RPH
Pharmacist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6464
MR. BRIAN E. GRAY D.P.T.
Physical Therapist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 728-0421
CHARLENE UBAH OD
Optometrist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6579

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 Jim Li's NPI number?

The NPI number for Jim Li is 1548644677. It was assigned to this individual provider in the NPPES registry on July 18, 2015.

Where is Jim Li located?

Jim Li practices at 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152. The listed phone number is (803) 895-6960.

What is Jim Li's specialty?

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

When was this NPI record last updated?

The NPPES record for Jim Li was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.