MEDICARE: ANTHONY B SIMS DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	9328	MD

General Provider Information

NPI Number	:	1679693188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY B SIMS DDS PC

Provider Business Mailing Address
First Line	:	8865 STANFORD BLVD
Second Line	:	131
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5420
Country	:	US
Telephone Number	:	410-872-0872
Fax Number	:	410-872-0872

Provider Business Practice Location Address
First Line	:	8865 STANFORD BLVD
Second Line	:	131
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5420
Country	:	US
Telephone Number	:	410-872-0872
Fax Number	:	410-872-0872

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY BENJAMIN SIMS
Credential	:	DDS
Telephone Number	:	410-872-0872

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/22/2020

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