Dr. Wilson Frederick Simmons, DDS
Dentist, General Practice in Winston Salem, NC. Individual provider (NPI-1).
NPI number1104838176
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104838176
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wilson Frederick Simmons
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5239 | NC | Yes |
Other names
- Fred Simmons (Professional Name)
Practice location
230 Oakwood DriveWinston Salem, NC 27103
Phone 336-722-6662 · Fax 336-722-6666
Mailing address
230 Oakwood DriveWinston Salem, NC 27103
Phone 336-722-6662 · Fax 336-722-6666
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