MEDICARE: DR. NESRIN TULIMAT DDS, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	0401419728	VA

General Provider Information

NPI Number	:	1710859087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NESRIN TULIMAT DDS, MS

Provider Business Mailing Address
First Line	:	4929 SKYWAY DR APT 5302
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-0048
Country	:	US
Telephone Number	:	720-903-6630
Fax Number	:

Provider Business Practice Location Address
First Line	:	2428 GUS THOMASSON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-3007
Country	:	US
Telephone Number	:	469-361-8088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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