Kent Chastain Simmons in Albany - Dentist

Kent Chastain Simmons - NPI 1073682845

Kent Chastain Simmons is a Dentist in Albany, Georgia. Kent Chastain Simmons practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kent Chastain Simmons is 1073682845. The last update date is 2007-07-08.

Kent Chastain Simmons's current location address is 2305 Lullwater Rd, Albany, Georgia. You can contact this provider via phone number 2298831306 and fax number 2298831357. The mailing address for Kent Chastain Simmons is 2305 Lullwater Rd, Albany, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kent Chastain Simmons
Address 2305 Lullwater Rd, Albany, Georgia
Phone Number 2298831306
Fax Number 2298831357
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1073682845
Provider Enumeration Date 2006-11-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2305 Lullwater Rd
City Albany
State Georgia (GA)
Post Code 31707
Phone Number 2298831306
Fax Number 2298831357

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 10366
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00902492A GA --

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FAQs about Kent Chastain Simmons

What is the unique identifier code issued to Kent Chastain Simmons by the Centers for Medicare & Medicaid Services (CMS)?

The Kent Chastain Simmons has been assigned the NPI (National Provider Identifier) 1073682845. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Kent Chastain Simmons located?

The Kent Chastain Simmons is located at 2305 Lullwater Rd, Albany, GA 31707.

What is Kent Chastain Simmons's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kent Chastain Simmons is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date was the 1073682845 assigned to Kent Chastain Simmons?

The Kent Chastain Simmons was issued its 1073682845 on 2006-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kent Chastain Simmons most recently updated or refreshed?

The details pertaining to the Kent Chastain Simmons, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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