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Organization
BARRY D. SIMMONS, DDS, PC
Active
Organization
BARRY D. SIMMONS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRON D. SIMMONS DDS (PRESIDENT)
(706) 546-1716
Entity
Organization
Contact information
Practice address
847 S MILLEDGE AVE, ATHENS, GA 30605-1331
(706) 546-1716
(706) 546-1715
Mailing address
847 S MILLEDGE AVE, ATHENS, GA 30605-1331
(706) 546-1716
(706) 546-1715
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
006804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
889547
UNITED CONCORDIA
—
Enumeration date
05/14/2018
Last updated
05/14/2018
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