Provider Demographics
NPI:1508144510
Name:SIMMONS, CECILIA FREENEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:FREENEY
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6738 FOREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1210
Mailing Address - Country:US
Mailing Address - Phone:817-984-1777
Mailing Address - Fax:
Practice Address - Street 1:6738 FOREST HILL DR
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76140-1210
Practice Address - Country:US
Practice Address - Phone:817-984-1777
Practice Address - Fax:817-386-3177
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26520122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist