Simmons, Jeffrey James

Simmons, Jeffrey James is an sole proprietor health care provider with primary practice located at 10 Enterprise Blvd Suite 209, Greenville SC 29615-6301. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Simmons, Jeffrey James can be contacted via phone (864) 234-8811.

Contact Information

Primary practice address
10 Enterprise Blvd Suite 209 Greenville SC 29615-6301
Phone: (864) 234-8811
Fax: (864) 234-8844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 4150 South Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4150 South Carolina

Profile Details

NPI number 1275586950
LBN Legal business name Simmons, Jeffrey James
Credentials DMD MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jul 13th, 2009 - about 17 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 1275586950 NPPES
South Carolina MEDICAID ZX4150

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