Dr Larry Dean Simmons DDS PA
Dentist in Mount Airy, NC. Organization (NPI-2).
NPI number1033221098
StatusActive
Last updated in NPPESJul 11, 2008
Details
- NPI
- 1033221098
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Larry Dean Simmons DDS PA
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4115 | NC | Yes |
Practice location
1007 Rockford StSuite 1
Mount Airy, NC 27030-5325
Phone 336-789-2075 · Fax 336-789-2041
Mailing address
1007 Rockford StSuite 1
Mount Airy, NC 27030-5325
Phone 336-789-2075 · Fax 336-789-2041
Authorized official
Larry Dean Simmons
Dentist
3367892075
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