Simmons-Boyd, Sandra L

Simmons-Boyd, Sandra L is an individual health care provider with primary practice located at 725 Providence Rd , Charlotte NC 28207-2370. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Simmons-Boyd, Sandra L can be contacted via phone (704) 376-1696.

Contact Information

Primary practice address
725 Providence Rd Charlotte NC 28207-2370
Phone: (704) 376-1696
Fax: (704) 376-1698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6088 North Carolina

Profile Details

NPI number 1841202835
LBN Legal business name Simmons-Boyd, Sandra L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841202835 NPPES
North Carolina MEDICAID 8997795
North Carolina Other 01-27-972
North Carolina Other BCBS97795

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