| Kent B. Simmons Dds, Pllc | |
|
3318 4th St Lewiston ID 83501-4405 | |
| (208) 746-3694 | |
| (208) 743-8313 |
| Full Name | Kent B. Simmons Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3318 4th St, Lewiston, Idaho |
| Authorized Official Name and Position | Kent B. Simmons (DENTIST) |
| Authorized Official Contact | 2087463694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent B. Simmons Dds, Pllc 3318 4th St Lewiston ID 83501-4405 Ph: (208) 746-3694 | Kent B. Simmons Dds, Pllc 3318 4th St Lewiston ID 83501-4405 Ph: (208) 746-3694 |
| NPI Number | 1326441411 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326441411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3884 (Idaho) | Primary |
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