NPI 1326441411

Kent B. Simmons DDS, PLLC

Organisation General Practice Dentistry Lewiston, ID

Practice location

Address: 3318 4th St, Lewiston, ID 83501-4405
Phone: (208) 746-3694
Fax: (208) 743-8313

Authorised official

Name: Kent B. Simmons
Title: Dentist
Phone: (208) 746-3694

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D3884 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1326441411
Entity type: Organization
NPI issued: 2 Oct 2014
Record last updated: 2 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.