Provider Demographics
NPI:1073603932
Name:SIMS, THOMAS M (DDS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:SIMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 E DESERT COVE DR
Mailing Address - Street 2:SUITE A101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6275
Mailing Address - Country:US
Mailing Address - Phone:480-451-5888
Mailing Address - Fax:480-451-9378
Practice Address - Street 1:9002 E DESERT COVE DR
Practice Address - Street 2:SUITE A101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6275
Practice Address - Country:US
Practice Address - Phone:480-451-5888
Practice Address - Fax:480-451-9378
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice