Simonton, Fred H

Simonton, Fred H is an sole proprietor health care provider with primary practice located at 1221 Sherwood Park Dr Ne Ste C , Gainesville GA 30501-3404. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Simonton, Fred H can be contacted via phone (770) 531-1075.

Contact Information

Primary practice address
1221 Sherwood Park Dr Ne Ste C Gainesville GA 30501-3404
Phone: (770) 531-1075
Fax: (770) 536-2815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 010367 Georgia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 10367 Georgia

Profile Details

NPI number 1578674271
LBN Legal business name Simonton, Fred H
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578674271 NPPES
Georgia MEDICAID 000344462A

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