Organization
HOWARD SIMS DENTAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON D SIMS D.D.S. (DENTIST)
(318) 631-1100
Entity
Organization
Contact information
Practice address
3546 GREENWOOD RD, SHREVEPORT, LA 71109-5233
(318) 631-1100
(318) 631-1127
Mailing address
3546 GREENWOOD RD, SHREVEPORT, LA 71109-5233
(318) 631-1100
(318) 631-1127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4513
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880990
—
LA
Enumeration date
02/12/2007
Last updated
08/22/2020
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