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S.L. Simmons-Boyd, D.D.S., P.A.

Dentist, General Practice in Charlotte, NC. Organization (NPI-2).

NPI number1609045335
StatusActive
Last updated in NPPESAug 15, 2008

Details

NPI
1609045335
Entity type
Organization (NPI-2)
Legal business name
S.L. Simmons-Boyd, D.D.S., P.A.
Organization subpart
No
Enumeration date
Feb 27, 2008
Last updated
Aug 15, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6088NCYes

Practice location

725 Providence Rd
Suite 301
Charlotte, NC 28207-2260

Phone 704-376-1696 · Fax 704-376-1698

Mailing address

725 Providence Rd
Suite 301
Charlotte, NC 28207-2370

Phone 704-376-1696 · Fax 704-376-1698

Authorized official

Sandra Simmons-Boyd
President
7043761696

Is something wrong?

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