Organization
H. CLIFTON SIMMONS III, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY CLIFTON SIMMONS III D.D.S. (OWNER)
(615) 329-1854
Entity
Organization
Contact information
Practice address
1916 HAYES ST, NASHVILLE, TN 37203-2317
(615) 329-1854
(615) 329-1880
Mailing address
1916 HAYES ST, NASHVILLE, TN 37203-2317
(615) 329-1854
(615) 329-1880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3219
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629131859
NPI
TN
Enumeration date
07/23/2018
Last updated
07/23/2018
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