| Fred H Simmons Jr | |
|
3404 S 7th St Terre Haute IN 47802-4017 | |
| (812) 232-1138 | |
| Not Available |
| Full Name | Fred H Simmons Jr |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3404 S 7th St, Terre Haute, Indiana |
| Authorized Official Name and Position | Fred H Simmons (OWNER) |
| Authorized Official Contact | 8122321138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred H Simmons Jr 3404 S 7th St Terre Haute IN 47802-4017 Ph: (812) 232-1138 | Fred H Simmons Jr 3404 S 7th St Terre Haute IN 47802-4017 Ph: (812) 232-1138 |
| NPI Number | 1356663025 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356663025 | NPI | - | NPPES |
| 100250180A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12006984 (Indiana) | Primary |
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