Fred H Simonton Iii, DMD is a
Oral & Maxillofacial Surgery based in Gainesville, Georgia. Fred H Simonton Iii is licensed to practice in Georgia (license number 10367) and his current practice location is
1221 Sherwood Park Dr Ne Ste C, Gainesville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 531-1075.
NPI number for Fred H Simonton Iii is 1578674271 and his current mailing address is 1221 Sherwood Park Dr Ne Ste C, Gainesville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578674271.
Healthcare Provider's Profile
| Full Name | Fred H Simonton Iii |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1221 Sherwood Park Dr Ne Ste C, Gainesville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578674271
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/29/2019
Medical Identifiers
Medical identifiers for Fred H Simonton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578674271 | NPI | - | NPPES |
| 000344462A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 010367 (Georgia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 10367 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fred H Simonton Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fred H Simonton Iii, DMD
1221 Sherwood Park Dr Ne Ste C,
Gainesville, GA 30501-3404
Ph: (770) 531-1075 | Fred H Simonton Iii, DMD
1221 Sherwood Park Dr Ne Ste C,
Gainesville, GA 30501-3404
Ph: (770) 531-1075 |
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