Individual
DR. RAYMOND KENNETH SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, DMSC
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6586
(732) 923-6599
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6586
(732) 923-6588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02526800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507708
—
NV
Enumeration date
11/17/2006
Last updated
01/25/2013
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