| Michaeldsimsdmdpc | |
|
103 Main St E Glencoe AL 35905-1755 | |
| (256) 492-1993 | |
| Not Available |
| Full Name | Michaeldsimsdmdpc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Main St E, Glencoe, Alabama |
| Authorized Official Name and Position | Michael David Sims (GENERAL DENTIST / OWNER) |
| Authorized Official Contact | 2564921993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michaeldsimsdmdpc 103 Main St E Glencoe AL 35905-1755 Ph: (256) 492-1993 | Michaeldsimsdmdpc 103 Main St E Glencoe AL 35905-1755 Ph: (256) 492-1993 |
| NPI Number | 1528351137 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528351137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4329AL (Alabama) | Primary |