# DR. RAYMOND KENNETH SIMMONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457425993
- **Gender:** Man
- **Credential:** DDS, DMSC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI02526800 | NJ | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 01/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100507708 | — | NV |