Provider Demographics
NPI:1770768582
Name:SIMMONDS, SONIA E (DDS)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:E
Last Name:SIMMONDS
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 1:1601 PARK CENTER DR
Mailing Address - Street 2:SUITE 1& 2
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5700
Mailing Address - Country:US
Mailing Address - Phone:321-521-4658
Mailing Address - Fax:321-251-5725
Practice Address - Street 1:1601 PARK CENTER DR
Practice Address - Street 2:SUITE 1& 2
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5700
Practice Address - Country:US
Practice Address - Phone:321-521-4658
Practice Address - Fax:321-251-5725
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN177011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice