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Organization

TROY W. SIMMONS DDS PC

Active
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Organization

TROY W. SIMMONS DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TROY WAYNE SIMMONS DDS (PRESIDENT)
(903) 753-7685
Entity
Organization

Contact information

Practice address
503 N 6TH ST, LONGVIEW, TX 75601-6604
(903) 753-7685
(903) 753-7686
Mailing address
503 N 6TH ST, LONGVIEW, TX 75601-6604
(903) 753-7685
(903) 753-7686

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11363
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000FE67
BLUE CROSS BLUE SHIELD
TX
05
0910150-01
TX
Enumeration date
10/03/2006
Last updated
02/17/2009
About Stedi
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