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WILSON FREDERICK SIMMONS DDS NPI 1740453083


NPI Information

NPI: 1740453083
Provider Name: WILSON FREDERICK SIMMONS DDS

Doing Business As: FRED SIMMONS DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
230 OAKWOOD DRIVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 722-6662
Get Directions

WILSON FREDERICK SIMMONS DDS is a general practice dentist in Winston Salem, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WILSON FREDERICK SIMMONS DDS NPI is 1740453083. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fred Simmons Dds.

The provider's business location address is:

230 OAKWOOD DRIVE
WINSTON SALEM, NC
ZIP 27103-905
Phone: (336) 722-6662
Fax: (336) 722-6666

The provider's authorized official is Wilson Frederick Simmons .
The authorized official title is Dentist and has the following contact phone number (336) 722-6662.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.


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
11223G0001XDentistGeneral Practice5239NORTH CAROLINAYes

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
18997826MEDICAIDNORTH CAROLINA
2436048MEDICARE UPINNORTH 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

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