DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED H SIMONTON III, D.M.D.

Active Sole Proprietor

FRED H SIMONTON III, D.M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in GAINESVILLE, Georgia. NPI 1578674271 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · GAINESVILLE, GA

Registration Details

NPI Number
1578674271
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.985125674882 yrs)
Last Updated
Jan 29, 2019
Licenses
010367 (GA)
10367 (GA)
Sole Proprietor
Yes

Practice Information

Address
1221 SHERWOOD PARK DR NE STE C
GAINESVILLE, GA, 305013404
Browse GA providers · Browse ZIP 30501
Phone
7705311075
Fax
7705362815
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in GAINESVILLE, GA

Name Credential NPI
WILLIAM JONES PHILLIPS D.D.S. 1659460772
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.