Individual
LARRY DEAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PA
Contact information
Practice address
1007 ROCKFORD ST, SUITE 1, MOUNT AIRY, NC 27030-5325
(336) 789-2075
(336) 789-2041
Mailing address
1007 ROCKFORD ST, SUITE 1, MOUNT AIRY, NC 27030-5325
(336) 789-2075
(336) 789-2041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997831
—
NC
Enumeration date
07/14/2006
Last updated
07/08/2007
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