Provider Demographics
NPI:1952360943
Name:STEPHEN C SIMS DDS PC
Entity Type:Organization
Organization Name:STEPHEN C SIMS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-280-9300
Mailing Address - Street 1:1725 CIMARRON TRL
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3439
Mailing Address - Country:US
Mailing Address - Phone:817-280-9300
Mailing Address - Fax:
Practice Address - Street 1:1725 CIMARRON TRL
Practice Address - Street 2:SUITE 1
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3439
Practice Address - Country:US
Practice Address - Phone:817-280-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12069122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty