person
Tavian Simmons, DDS
Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana
NPI 1851038384

Tavian Simmons is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. Tavian Simmons practices in Indianapolis, IN and has the professional credentials of DDS. The NPI Number for Tavian Simmons is 1851038384 and holds a License No. 12736 (Indiana).

The current practice location address for Tavian Simmons is 550 N. University Blvd Ste. 3195, Indianapolis, IN and can be reached out via phone at 317-274-5315.

Location: 550 N. University Blvd Ste. 3195, Indianapolis, IN, 46254
person
Provider Profile Details
NPI Number
1851038384
Provider Name
Tavian Simmons
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
550 N. University Blvd Ste. 3195, Indianapolis, IN, 46254
Phone Number
317-274-5315
Fax Number
Provider Enumeration Date
05/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
550 N. University Blvd Ste. 3195
City
State
Zip
46202-0001
Phone Number
317-274-5315
Fax Number
person
Provider Business Mailing Address Details
Address
550 N. University Blvd Ste. 3195
City
State
Zip
46202-0001
Phone Number
317-274-5315
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
12014152A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
12736 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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