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Organization
WILSON FREDERICK SIMMONS DDS
Active
Organization
WILSON FREDERICK SIMMONS DDS
Active
Other names
Fred Simmons DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON FREDERICK SIMMONS DDS (DENTIST)
(336) 722-6662
Entity
Organization
Contact information
Practice address
230 OAKWOOD DRIVE, WINSTON SALEM, NC 27103-1905
(336) 722-6662
(336) 722-6666
Mailing address
230 OAKWOOD DRIVE, WINSTON SALEM, NC 27103-1905
(336) 722-6662
(336) 722-6666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997826
—
NC
Enumeration date
04/08/2008
Last updated
04/08/2008
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