Organization
ROBERT SIMMONS JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SIMMONS JR. DDS (DENTIST CEO)
(912) 368-3333
Entity
Organization
Contact information
Practice address
101 E GENERAL STEWART WAY, HINESVILLE, GA 31313
(912) 368-3333
(912) 368-6009
Mailing address
101 E GENERAL STEWART WAY, HINESVILLE, GA 31313
(912) 368-3333
(912) 368-6009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009886
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00278935B
—
GA
01
—
629771
UNITED CONCORDIA
GA
Enumeration date
01/08/2007
Last updated
08/22/2020
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