Individual
DR. DWIGHT SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27620 75TH ST, SUITE 3, SALEM, WI 53168-9530
(262) 843-1808
Mailing address
19445 W FOREST LN, MUNDELEIN, IL 60060-3496
(847) 393-7100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025863
IL
Other
Enumeration date
07/27/2006
Last updated
04/24/2012
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