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NPI Code Detail

MEDICARE: DR. ERICA D SIMMS DDS

MEDICARE: DR. ERICA D SIMMS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21223D0004XDental Anesthesiology17742MD

General Provider Information

NPI Number : 1609433903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERICA D SIMMS DDS
Provider Business Mailing Address
First Line : 1900 COPELAND ST APT A
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-4448
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1220 CARAWAY CT STE 1050
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-5338
Country : US
Telephone Number : 301-494-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 10/11/2023

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