Individual
ALEXA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9219 US HIGHWAY 19, PORT RICHEY, FL 34668-4854
(727) 264-5300
Mailing address
9219 US HIGHWAY 19, PORT RICHEY, FL 34668-4854
(203) 581-0072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901601105
MI
1223G0001X
General Practice Dentistry
Primary
DN28916
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2020
Last updated
10/07/2024
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