Provider Demographics
NPI:1992714760
Name:JASON C. SIMS DDS, P.C.
Entity type:Organization
Organization Name:JASON C. SIMS DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:C
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-642-8286
Mailing Address - Street 1:4019 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-5069
Mailing Address - Country:US
Mailing Address - Phone:765-642-8286
Mailing Address - Fax:765-642-1258
Practice Address - Street 1:4019 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-5069
Practice Address - Country:US
Practice Address - Phone:765-642-8286
Practice Address - Fax:765-642-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010503A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty