Provider Demographics
NPI:1891094298
Name:GHIMIRE, BINJU (DDS)
Entity Type:Individual
Prefix:
First Name:BINJU
Middle Name:
Last Name:GHIMIRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 ROLLING HILLS CIR
Mailing Address - Street 2:ASPEN DENTAL
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-7400
Mailing Address - Country:US
Mailing Address - Phone:864-810-4248
Mailing Address - Fax:
Practice Address - Street 1:128 ROLLING HILLS CIR
Practice Address - Street 2:ASPEN DENTAL
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-7400
Practice Address - Country:US
Practice Address - Phone:864-810-4248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26097122300000X
SC81341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist