| Fred Simmons Dds | |
|
230 Oakwood Drive Winston Salem NC 27103-1905 | |
| (336) 722-6662 | |
| (336) 722-6666 |
| Full Name | Fred Simmons Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 Oakwood Drive, Winston Salem, North Carolina |
| Authorized Official Name and Position | Wilson Frederick Simmons (DENTIST) |
| Authorized Official Contact | 3367226662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Simmons Dds 230 Oakwood Drive Winston Salem NC 27103-1905 Ph: (336) 722-6662 | Fred Simmons Dds 230 Oakwood Drive Winston Salem NC 27103-1905 Ph: (336) 722-6662 |
| NPI Number | 1740453083 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740453083 | NPI | - | NPPES |
| 8997826 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5239 (North Carolina) | Primary |
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