Individual
CHARLES EDWARD SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4849 S COBB DR SE STE 111, SMYRNA, GA 30080-7129
(770) 435-5450
Mailing address
4849 S COBB DR SE STE 111, SMYRNA, GA 30080-7129
(770) 435-5450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17458
MD
122300000X
Dentist
DS043189
PA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/17/2021
Last updated
10/28/2025
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