Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jake Ryan Mimms, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700318060

Dr. Jake Ryan Mimms, DMD is a Student in an Organized Health Care Education/Training Program in Madison, Alabama. Works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2017
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

8263 Madison Blvd Ste A
Madison, AL 35758-2051
Phone: (256) 774-7228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 875 Union Ave, Memphis, TN 38103-3513 — (901) 448-2242

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6432 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700318060
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESJuly 17, 2019
Mailing address8263 Madison Blvd Ste A, Madison, AL 35758-2051

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