Organization · Type 2 NPI

Ervin Simmons IV DMD LLC

Oral and Maxillofacial Surgery (Dentist) · Florissant, MO

NPI number 1780120410 Active

Practice location

3220 Parker Rd
Florissant, MO 63033-3733

Fax (314) 837-3260

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X13607 (MO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1780120410

Ervin Simmons IV DMD LLC's National Provider Identifier is 1780120410, issued on Jan 19, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Florissant, MO. The record was last updated on Jan 19, 2017.