Provider Demographics
NPI:1659716421
Name:SIMMONS, JOYCE DAWN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:DAWN
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 N HALL ST
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-1856
Mailing Address - Country:US
Mailing Address - Phone:402-376-2551
Mailing Address - Fax:402-376-2551
Practice Address - Street 1:222 N HALL ST
Practice Address - Street 2:
Practice Address - City:VALENTINE
Practice Address - State:NE
Practice Address - Zip Code:69201-1856
Practice Address - Country:US
Practice Address - Phone:402-376-2551
Practice Address - Fax:402-376-2551
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5168122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist