Provider Demographics
NPI:1285933242
Name:R. SIMS TOMPKINS, DMD, PA
Entity type:Organization
Organization Name:R. SIMS TOMPKINS, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SIMS
Authorized Official - Last Name:TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:803-738-9715
Mailing Address - Street 1:5250 CLEMSON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3042
Mailing Address - Country:US
Mailing Address - Phone:803-738-9715
Mailing Address - Fax:803-738-9717
Practice Address - Street 1:5250 CLEMSON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3042
Practice Address - Country:US
Practice Address - Phone:803-738-9715
Practice Address - Fax:803-738-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty