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Organization
ROBERT SIMMONS JR DDS PC
Active
Organization
ROBERT SIMMONS JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SIMMONS JR. DDS (DENTIST CEO)
(912) 368-3333
Entity
Organization
Contact information
Practice address
101 E GENERAL STEWART WAY, HINESVILLE, GA 31313
(912) 368-3333
(912) 368-6009
Mailing address
101 E GENERAL STEWART WAY, HINESVILLE, GA 31313
(912) 368-3333
(912) 368-6009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009886
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00278935B
—
GA
01
—
629771
UNITED CONCORDIA
GA
Enumeration date
01/08/2007
Last updated
08/22/2020
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