# E. WAYNE SIMMONS, D.M.D., PROSTHODONTIST, PC

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

## Provider details

- **NPI number:** 1164540795
- **Authorized official:** DR. E. WAYNE SIMMONS D.M.D. (PRESIDENT)
- **Authorized official phone:** (210) 692-0136

## Contact information

- **Practice address:** 2020 BABCOCK RD, SUITE 24, SAN ANTONIO, TX 78229-4443
- **Practice address phone:** (210) 692-0136
- **Practice address fax:** (210) 692-0139
- **Mailing address:** 2020 BABCOCK RD, BOX 25, SAN ANTONIO, TX 78229-4443
- **Mailing address phone:** (210) 692-0136
- **Mailing address fax:** (210) 692-0139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 10836 | TX | — |
| 1223P0700X | Prosthodontics | 1864 | SC | — |
| 1223P0700X | Prosthodontics | 22075 | TX | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020