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MR. ADRIAN MICHAEL SIMM DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1952327561
Individual Registrant:MR. ADRIAN MICHAEL SIMM DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
506 WEST MAIN DELCAMBRE, LA 70528 US
Tel: 337-685-2274 Fax: 337-685-5543
Tel: 337-685-2274 Fax: 337-685-5543
Contact information for business:
PO BOX 200 DELCAMBRE, LA 70528 US
Tel: 337-685-2274 Fax: 337-685-5543
Tel: 337-685-2274 Fax: 337-685-5543
Registration Information:
NPI: 1952327561
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | LA | 3026 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1830267 | LA | 05 |
