NPI 1780964577

Jennifer Olivia Simmons, DDS

Practitioner Dentist Tyndall Afb, FL

Practice location

Address: 340 Magnolia Cir, Tyndall Afb, FL 32403-5604
Phone: (850) 283-7448

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 10473 (CO)

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Registry record

NPI: 1780964577
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2011
Record last updated: 18 Apr 2018

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.