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

Jim Li

Individual provider Dentist · NPI 1548644677

Jim Li is a Dentist in Shaw AFB, South Carolina. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2015

Practice location Address checks out

420 Polifka Dr Bldg 1042
Shaw AFB, SC 29152-5100
Phone: (803) 895-6960
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9473991-9921 (UT)

Record details

NPI number1548644677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 18, 2015
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100

Other providers in Shaw AFB