Individual provider · Type 1 NPI
Tavian Simmons, DDS
General Practice Dentistry · Indianapolis, IN
NPI number
1851038384
Active
Practice location
550 N. University Blvd Ste. 3195
Indianapolis, IN 46202-0001
Mailing address
6729 Stanhope Dr
Indianapolis, IN 46254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 12736 (NC) |
| General Practice Dentistry Primary | 1223G0001X | 12014152A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1851038384
Tavian Simmons, DDS's National Provider Identifier is 1851038384, issued on May 16, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 26, 2023.