Provider Demographics
NPI:1477872489
Name:SIMMS, LAUREN CURRALL (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:CURRALL
Last Name:SIMMS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WEST ST
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3055
Mailing Address - Country:US
Mailing Address - Phone:908-894-3784
Mailing Address - Fax:
Practice Address - Street 1:77 HAYTOWN RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-4010
Practice Address - Country:US
Practice Address - Phone:908-894-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02434100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist