Organization
ERVIN SIMMONS IV DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERVIN SIMMONS IV DMD (OWNER)
(314) 837-3232
Entity
Organization
Contact information
Practice address
3220 PARKER RD, FLORISSANT, MO 63033-3733
(314) 837-3232
(314) 837-3260
Mailing address
3220 PARKER RD, FLORISSANT, MO 63033-3733
(314) 837-3232
(314) 837-3260
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13607
MO
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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