Jason Bradley Simmons in Mobile - Periodontics

Jason Bradley Simmons - NPI 1194814459

Jason Bradley Simmons is a Periodontics in Mobile, Alabama. Jason Bradley Simmons practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jason Bradley Simmons is 1194814459. The last update date is 2007-07-08.

Jason Bradley Simmons's current location address is 6337 Piccadilly Square Dr, Mobile, Alabama. You can contact this provider via phone number 2513446449 and fax number 2513446424. The mailing address for Jason Bradley Simmons is 6337 Piccadilly Square Dr, Mobile, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Bradley Simmons
Address 6337 Piccadilly Square Dr, Mobile, Alabama
Phone Number 2513446449
Fax Number 2513446424
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1194814459
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6337 Piccadilly Square Dr
City Mobile
State Alabama (AL)
Post Code 366095103
Phone Number 2513446449
Fax Number 2513446424

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 4978-CS
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Jason Bradley Simmons

What is the unique 10-digit identifier code assigned to Jason Bradley Simmons by the Centers for Medicare & Medicaid Services?

The Jason Bradley Simmons has been issued the NPI (National Provider Identifier) 1194814459 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jason Bradley Simmons is physically located?

The Jason Bradley Simmons is physically situated at the following address: 6337 Piccadilly Square Dr, Mobile, AL, 366095103.

What is Jason Bradley Simmons's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jason Bradley Simmons is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

When did Jason Bradley Simmons receive its 1194814459 assignment?

The Jason Bradley Simmons was assigned its 1194814459 on 2006-10-12, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Jason Bradley Simmons, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jason Bradley Simmons, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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