Individual
JEREMY LEE SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
ROUTE 2 BOX 36C, BRISTOL, WV 26332
(727) 230-1828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3604
WV
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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