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

Individual provider Dentist · NPI 1255666863

Dr. Jessica Wallace Mirrielees, DMD is a Dentist in Hanahan, South Carolina. Practices as a sole proprietor. Licensed in Kentucky and South Carolina.

Licensed in
KY, SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

996 Tanner Ford Blvd
Hanahan, SC 29410-4780
Phone: (843) 212-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8672 (SC)
Dentist Taxonomy 122300000X · Licence 8747 (KY)

Record details

NPI number1255666863
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 15, 2009
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

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