Provider Demographics
NPI:1699335737
Name:SIMS, AIMEE C (DMD)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:C
Last Name:SIMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 46TH AVE NW APT 130
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8552
Mailing Address - Country:US
Mailing Address - Phone:815-573-1410
Mailing Address - Fax:
Practice Address - Street 1:24 W SILVER LAKE DR NE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-3640
Practice Address - Country:US
Practice Address - Phone:507-282-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND142631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice