Individual
DR. GARY A SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4570 MEMORIAL DR, DECATUR, GA 30032-1447
(404) 292-3133
(404) 294-5270
Mailing address
4570 MEMORIAL DR, DECATUR, GA 30032-1447
(404) 292-3133
(404) 294-5270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013291
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
694565025A
—
GA
Enumeration date
12/20/2006
Last updated
03/15/2013
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