| R. Sims Tompkins, Dmd, Pa | |
|
5250 Clemson Ave Columbia SC 29206-3042 | |
| (803) 738-9715 | |
| (803) 738-9717 |
| Full Name | R. Sims Tompkins, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 5250 Clemson Ave, Columbia, South Carolina |
| Authorized Official Name and Position | Richard Sims Tompkins (OWNER/PRESIDENT) |
| Authorized Official Contact | 8037389715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Sims Tompkins, Dmd, Pa 5250 Clemson Ave Columbia SC 29206-3042 Ph: (803) 738-9715 | R. Sims Tompkins, Dmd, Pa 5250 Clemson Ave Columbia SC 29206-3042 Ph: (803) 738-9715 |
| NPI Number | 1285933242 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Medicare PECOS PAC ID | 0244413920 |
|---|---|
| Medicare Enrollment ID | O20110318000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285933242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2835 (South Carolina) | Primary |
| Provider Name | Richard Sims Tompkins |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912015207 PECOS PAC ID: 6608059381 Enrollment ID: I20110331000081 |
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