Provider Demographics
NPI:1508489709
Name:KEVIN M. SIMS, DMD, MS, PC
Entity Type:Organization
Organization Name:KEVIN M. SIMS, DMD, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:205-982-7105
Mailing Address - Street 1:2074 VALLEYDALE RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2084
Mailing Address - Country:US
Mailing Address - Phone:205-982-7105
Mailing Address - Fax:205-403-8361
Practice Address - Street 1:2074 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2084
Practice Address - Country:US
Practice Address - Phone:205-982-7105
Practice Address - Fax:205-403-8361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty