Provider Demographics
NPI:1497084057
Name:SIMS, KENDALL M (DDS)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:M
Last Name:SIMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 BEAUTIFUL VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-6582
Mailing Address - Country:US
Mailing Address - Phone:615-403-3814
Mailing Address - Fax:
Practice Address - Street 1:1220 BEAUTIFUL VALLEY CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-6582
Practice Address - Country:US
Practice Address - Phone:615-403-3814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN90721223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery