Sims Dental Clinic PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5254 Issued in OK

Legal business name

SIMS DENTAL CLINIC PLLC

Practice address

115 W Walnut St
Tecumseh, OK 74873-2031

Phone

(405) 598-6518

Fax

(405) 598-2769

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Allen Sims Jr., D.D.S.NPI 1588748172

Title

Dentist

Phone

(405) 598-6518

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Allen Sims Jr., DDS

  • General Practice Dentistry
  • Tecumseh, OK
  • NPI 1588748172
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598967929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W WALNUT ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748732031",
            "telephone_number": "405-598-6518",
            "fax_number": "405-598-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W WALNUT ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748732031",
            "telephone_number": "405-598-6518",
            "fax_number": "405-598-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS DENTAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-598-6518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantelle Sawyer
• Alexander Schovanec
• Ashley Shafer
• Lucas Shoemaker
• Crystal Simonds, BS
• Charles Allen Sims Jr., DDS
• Joel Marion Skubinna
• Karli Soliday, SLPA
• Jordan Leann Spoon
• Stephen Strech

• General Practice Dentistry in Tecumseh, OK
• Providers in Tecumseh, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.