Individual
DR. FRED H SIMMONS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.D.
Contact information
Practice address
3404 SO 7TH ST, TERRE HAUTE, IN 47802
(812) 232-1138
Mailing address
P. O. BOX 10129, TERRE HAUTE, IN 47801-0129
(812) 232-1138
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12006984A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132317
CHILDRENS SPECIAL HEALTH
IN
Enumeration date
08/15/2006
Last updated
07/09/2007
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