Organization
JAMES K. SIMONS, D.D.S. AND ASSOCIATES
Active
Other names
Children's Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KIRK SIMONS D.D.S. (OWNER)
(512) 442-4338
Entity
Organization
Contact information
Practice address
2700 S 1ST ST, AUSTIN, TX 78704-5421
(512) 442-4338
(512) 442-6074
Mailing address
2700 S 1ST ST, AUSTIN, TX 78704-5421
(512) 442-4338
(512) 442-6074
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013142
FORTIS FACILITY IDENTIFIE
TX
05
—
151451501
—
TX
01
—
G60054
CHIP GROUP IDENTIFIER
TX
Enumeration date
11/28/2006
Last updated
04/01/2010
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