Provider Demographics
NPI:1891758546
Name:SIMMONS, JOE J III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:J
Last Name:SIMMONS
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9409 GARLAND RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3424
Mailing Address - Country:US
Mailing Address - Phone:214-321-6441
Mailing Address - Fax:214-321-6442
Practice Address - Street 1:9409 GARLAND RD STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3424
Practice Address - Country:US
Practice Address - Phone:214-321-6441
Practice Address - Fax:214-321-6442
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD19731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice