Fred H Simonton III
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1221 Sherwood Park Dr Ne Ste C
Gainesville
, Georgia 30501-3404
Fred H Simonton III
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1221 Sherwood Park Dr Ne Ste C
Gainesville
, Georgia 30501-3404
(770) 536-2815
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Fred H Simonton III
- 1221 Sherwood Park Dr Ne Ste C
- Gainesville, GA
- Zip : 30501-3404
- Fax : (770) 536-2815
- Phone : (770) 531-1075
Second Address
- Fred H Simonton III
- 1221 Sherwood Park Dr Ne Ste C
- Gainesville, GA
- Zip : 30501-3404
- Fax : (770) 536-2815
- Phone : (770) 531-1075
Reviews
FAQs
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Is Fred H Simonton III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 010367 | GA |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 10367 | GA |
National Provider Identifier
| NPI | 1578674271 |
|---|---|
| Provider Name | Fred H Simonton III |
| First Address | Gainesville, GA 30501-3404 |
| Second Address | Gainesville, GA 30501-3404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 29/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000344462A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.