Individual
ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
571 N 6TH ST FL 1, NEWARK, NJ 07107-2501
(973) 485-5429
Mailing address
174 CARMITA AVE, RUTHERFORD, NJ 07070-1630
(646) 461-0454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02648700
NJ
Other
Enumeration date
09/21/2016
Last updated
04/27/2017
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