Larry Dean Simmons D.D.S., PA

NPI 1023034055 - Dentist - 122300000X

NPI Details
NPI 1023034055
Gender Male
Enumeration Date 07/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1007 ROCKFORD ST
SUITE 1
MOUNT AIRY NC, 27030-5325, US
Phone (336) 789-2075
Fax (336) 789-2041
Business Location
1007 ROCKFORD ST
SUITE 1
MOUNT AIRY NC, 27030-5325, US
Phone (336) 789-2075
Fax (336) 789-2041
Toxanomy
Taxonomy Code 122300000X
License State North Carolina
License Number 4115
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According to our database, Larry Dean Simmons D.D.S., PA NPI is 1023034055, taxonomy code is 122300000X and license number is 4115, license state is located at North Carolina. Larry Dean Simmons D.D.S., PA physically located at 1007 Rockford St, Mount Airy NC, 27030-5325. NPI Number Larry Dean Simmons D.D.S., PA has the Individual type.

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1023034055 NPI number is provided on an as is basis without warranty of any kind. 1023034055 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Dean Simmons D.D.S., PA are for informational purposes only.