| Ervin Simmons Iv Dmd Llc | |
|
3220 Parker Rd Florissant MO 63033-3733 | |
| (314) 837-3232 | |
| (314) 837-3260 |
| Full Name | Ervin Simmons Iv Dmd Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3220 Parker Rd, Florissant, Missouri |
| Authorized Official Name and Position | Ervin Simmons (OWNER) |
| Authorized Official Contact | 3148373232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ervin Simmons Iv Dmd Llc 3220 Parker Rd Florissant MO 63033-3733 Ph: (314) 837-3232 | Ervin Simmons Iv Dmd Llc 3220 Parker Rd Florissant MO 63033-3733 Ph: (314) 837-3232 |
| NPI Number | 1780120410 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780120410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13607 (Missouri) | Primary |
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