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Individual

DR. JON PRESTON SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
205 W ORANGE ST, JESUP, GA 31545-1701
(912) 427-2333
(912) 427-0898
Mailing address
205 W ORANGE ST, JESUP, GA 31545-1701
(912) 427-2333
(912) 427-0898

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011278
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000667642A
GA
01
011278
STATE LICENSE NUMBER
GA
Enumeration date
09/29/2005
Last updated
03/07/2023
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