Individual
JAMES KIRK SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
—
G60054-01
CHIP ID
TX
Enumeration date
08/09/2006
Last updated
07/09/2007
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