DR. Jason Bradley Simmons, D.M.D.

NPI #1194814459 in Mobile, Alabama

Provider Information

NPI Number: 1194814459
Entity Type: Individual
Name: DR. Jason Bradley Simmons, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.M.D.
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6337 PICCADILLY SQUARE DR
City: Mobile
State: Alabama
ZIP Code: 36609-5103
Phone: (251) 344-6449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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