Provider Demographics
NPI:1063809101
Name:SIMA, CORNELIU (DMD MSC DSC)
Entity type:Individual
Prefix:
First Name:CORNELIU
Middle Name:
Last Name:SIMA
Suffix:
Gender:M
Credentials:DMD MSC DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 STEAMBOAT PKWY UNIT 12432
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-6386
Mailing Address - Country:US
Mailing Address - Phone:857-292-2284
Mailing Address - Fax:
Practice Address - Street 1:10443 DOUBLE R BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8905
Practice Address - Country:US
Practice Address - Phone:775-521-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADF110691223P0300X
NVS4-124C1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics