Simmons, Larry Dean
Simmons, Larry Dean is an individual health care provider with primary practice located at 1007 Rockford St Suite 1, Mount Airy NC 27030-5325. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Simmons, Larry Dean can be contacted via phone (336) 789-2075.Contact Information
Primary practice address
1007 Rockford St Suite 1
Mount Airy NC 27030-5325
Phone: (336) 789-2075
Fax: (336) 789-2041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4115 | North Carolina |
Profile Details
| NPI number | 1023034055 |
|---|---|
| LBN Legal business name | Simmons, Larry Dean |
| Credentials | D.D.S., PA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023034055 | NPPES |
| North Carolina | MEDICAID | 8997831 |
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