Provider Demographics
NPI:1912625567
Name:JAIMES, OSCAR (DMD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:JAIMES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 W ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5500
Mailing Address - Country:US
Mailing Address - Phone:252-751-9855
Mailing Address - Fax:252-751-9856
Practice Address - Street 1:1310 W ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5500
Practice Address - Country:US
Practice Address - Phone:252-751-9855
Practice Address - Fax:252-751-9856
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC142931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
UUI105012949OtherPRIVATE INSURANCE