Individual
TAYLOR ANTIONE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 S JEFFERSON AVE, COOKEVILLE, TN 38501-4010
(931) 854-1200
Mailing address
179 LOBLOLLY LN, MONROEVILLE, AL 36460-1619
(251) 593-2700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12325
TN
1223P0221X
Pediatric Dentistry
Primary
12325
TN
Other
Enumeration date
07/13/2021
Last updated
10/24/2023
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