Organization
CENTRE FOR PROGRESSIVE DENTISTRY
Active
Other names
Santa Fe Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M SIMS D.D.S. (OWNER)
(480) 451-5888
Entity
Organization
Contact information
Practice address
9002 E DESERT COVE DR STE 101, SCOTTSDALE, AZ 85260-6275
(480) 451-5888
(480) 451-9378
Mailing address
9002 E DESERT COVE DR STE 101, SCOTTSDALE, AZ 85260-6275
(480) 451-5888
(480) 451-9378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3573
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277697
UNITED CONCORDIA PROVIDER
AZ
Enumeration date
11/16/2006
Last updated
08/22/2020
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