Alexa Simmons, DDS
Dentist, General Practice in Port Richey, FL. Individual provider (NPI-1).
NPI number1962023705
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1962023705
- Entity type
- Individual (NPI-1)
- Name
- Alexa Simmons
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2020
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN28916 | FL | Yes |
| 1223G0001X | Dentist, General Practice | 2901601105 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
9219 Us Highway 19Port Richey, FL 34668-4854
Phone 727-264-5300
Mailing address
9219 Us Highway 19Port Richey, FL 34668-4854
Phone 203-581-0072
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All 10 General Practice Dentistry providers in Port Richey · All 610 providers in Port Richey
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