Ervin Simmons IV Dmd LLC
NPI #1780120410 in Florissant, Missouri
Provider Information
- NPI Number
- 1780120410
- Entity Type
- Organization
- Organization Name
- Ervin Simmons IV Dmd LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 19, 2017
- Last Updated
- Jan 19, 2017
Practice Location
- Address
- 3220 PARKER RD
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63033-3733
- Phone
- (314) 837-3232
Authorized Official
- Name
- ERVIN SIMMONS IV, DMD
- Title
- OWNER
- Phone
- (314) 837-3232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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