Provider Demographics
NPI:1164806675
Name:DAWSON, CHRISTINA SIMS (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:SIMS
Last Name:DAWSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MELISSA
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1278 JUSTIN RD STE 108
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2200
Mailing Address - Country:US
Mailing Address - Phone:972-317-1581
Mailing Address - Fax:
Practice Address - Street 1:1278 JUSTIN RD STE 108
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2200
Practice Address - Country:US
Practice Address - Phone:972-317-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30989122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist