Individual
AUSTIN LEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
120 SAINT LOUIS AVE, SEYMOUR, IN 47274-2304
(812) 405-1857
(812) 954-5022
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 343-6562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014141A
IN
Other
Enumeration date
06/20/2023
Last updated
06/22/2023
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