DR. JEFFREY JAMES SIMMONS DMD MD NPI 1275586950

NPI Information

NPI: 1275586950
Provider Name: DR. JEFFREY JAMES SIMMONS, DMD MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
10 ENTERPRISE BLVD
SUITE 209
GREENVILLE, SC
ZIP 29615
Phone: (864) 234-8811
Get Directions

DR. Jeffrey James Simmons, DMD MD is an oral and maxillofacial surgery dentist in Greenville, SC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jeffrey James Simmons, DMD MD NPI is 1275586950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 ENTERPRISE BLVD
SUITE 209
GREENVILLE, SC
ZIP 29615-301
Phone: (864) 234-8811
Fax: (864) 234-8844

The NPI 1275586950 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/13/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	4150	SOUTH CAROLINA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	4150	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	V08920	MEDICARE UPIN
2	ZX4150	MEDICAID	SOUTH CAROLINA
3	2015	MEDICARE PIN	SOUTH CAROLINA

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

NPI Synchronization or Removal

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