DR. Carl Benton Fitzsimmons, D.D.S.

NPI #1396846010 in Plymouth, Minnesota

Provider Information

NPI Number: 1396846010
Entity Type: Individual
Name: DR. Carl Benton Fitzsimmons, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 26, 2006
Last Updated: Jun 5, 2018

Practice Location

Address: 16795 COUNTY ROAD 24 STE 6
City: Plymouth
State: Minnesota
ZIP Code: 55447
Phone: (763) 577-9840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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