Simms, Gary A
Simms, Gary A is an sole proprietor health care provider with primary practice located at 4570 Memorial Dr , Decatur GA 30032-1447. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Simms, Gary A can be contacted via phone (404) 292-3133.Contact Information
Primary practice address
4570 Memorial Dr
Decatur GA 30032-1447
Phone: (404) 292-3133
Fax: (404) 294-5270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN013291 | Georgia |
Profile Details
| NPI number | 1659435030 |
|---|---|
| LBN Legal business name | Simms, Gary A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Mar 15th, 2013 - about 13 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 | 1659435030 | NPPES |
| Georgia | MEDICAID | 694565025A |
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