| Simmons Dental Corporation | |
|
1029 Elizabeth Lake Rd Palmdale CA 93551 | |
| (661) 947-3163 | |
| (661) 947-0538 |
| Full Name | Simmons Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1029 Elizabeth Lake Rd, Palmdale, California |
| Authorized Official Name and Position | Gerald Scott Simmons (OWNER) |
| Authorized Official Contact | 6619473163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simmons Dental Corporation 1029 Elizabeth Lake Rd Palmdale CA 93551 Ph: (661) 947-3163 | Simmons Dental Corporation 1029 Elizabeth Lake Rd Palmdale CA 93551 Ph: (661) 947-3163 |
| NPI Number | 1912004730 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912004730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31979 (California) | Secondary |
| 122300000X | Dentist | 29916 (California) | Secondary |
| 122300000X | Dentist | 24629 (California) | Primary |
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