# BELLEVUE NEUROMUSCULAR DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033355581
- **Authorized official:** DR. WILLAM CRIS SIMMONS DDS (OWNER)
- **Authorized official phone:** (425) 637-1000

## Contact information

- **Practice address:** 1515 116TH AVE NE, SUITE 303, BELLEVUE, WA 98004-3811
- **Practice address phone:** (425) 637-1000
- **Practice address fax:** (206) 682-0775
- **Mailing address:** 1515 116TH AVE NE, SUITE 303, BELLEVUE, WA 98004-3811
- **Mailing address phone:** (425) 637-1000
- **Mailing address fax:** (206) 682-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6392 | WA | Yes |

## Other

- **Enumeration date:** 01/05/2009
- **Last updated:** 01/05/2009