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FRED H SIMMONS JR NPI 1356663025


NPI Information

NPI: 1356663025
Provider Name: FRED H SIMMONS JR
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3404 S 7TH ST
TERRE HAUTE, IN
ZIP 47802
Phone: (812) 232-1138
Get Directions

FRED H SIMMONS JR is a pediatric dentistry dentist in Terre Haute, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. FRED H SIMMONS JR NPI is 1356663025. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3404 S 7TH ST
TERRE HAUTE, IN
ZIP 47802-017
Phone: (812) 232-1138

The provider's authorized official is Fred H Simmons .
The authorized official title is Owner and has the following contact phone number (812) 232-1138.

The enumeration date for this NPI number is 2/23/2010 and was last updated on 2/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry12006984INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100250180AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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