Organization
BARRY D. SIMMONS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRON D. SIMMONS DDS (PRESIDENT)
(706) 546-1716
Entity
Organization
Contact information
Practice address
847 S MILLEDGE AVE, ATHENS, GA 30605-1331
(706) 546-1716
(706) 546-1715
Mailing address
847 S MILLEDGE AVE, ATHENS, GA 30605-1331
(706) 546-1716
(706) 546-1715
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
006804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
889547
UNITED CONCORDIA
—
Enumeration date
05/14/2018
Last updated
05/14/2018
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