Individual
DR. PAUL STEVEN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
5902 W 35TH ST, CICERO, IL 60804-4162
(708) 780-0440
(708) 780-0441
Mailing address
5902 W 35TH ST, CICERO, IL 60804-4162
(708) 780-0440
(708) 780-0441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
IL
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
07/28/2005
Last updated
08/28/2007
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