Individual
DR. CLARENCE E SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3500 NE RALPH POWELL RD STE B, LEES SUMMIT, MO 64064-2378
(816) 317-0130
(816) 873-1099
Mailing address
3500 NE RALPH POWELL RD STE B, LEES SUMMIT, MO 64064-2378
(816) 317-0130
(816) 873-1099
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015874
MO
332B00000X
Durable Medical Equipment & Medical Supplies
015874
MO
Other
Enumeration date
11/06/2006
Last updated
11/01/2022
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