DR. JENNIFER OLIVIA SIMMONS (NPI# 1780964577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780964577 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER OLIVIA SIMMONS |
| Credential | D.D.S. |
| Practice Address |
340 Magnolia Cir Tyndall Afb FL 32403-5604 |
| Practice Telephone | 8502837448 |
| Mailing Telephone | 8502837448 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10473 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857665 | Jennifer Saucier Simmons | Counselor | 212 Maiden Ln, Durham, CT 06422-2017 | 2020-03-25 |
| 1356838064 | Jennifer Simmons | Psychologist | 11530 Allisonville Rd Ste 190, Fishers, IN 46038-1862 | 2018-04-18 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1598136483 | Jennifer Simmons | Counselor | 5239 Mardel Ave, Saint Louis, MO 63109-1760 | 2015-10-17 |
| 1154660868 | Jennifer L Simmons | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2013-02-01 |
| 1295964245 | Jennifer D Simmons | Counselor | 19871 Sackett Ln, Waynesville, MO 65583-0122 | 2009-07-13 |
| 1780837252 | Jennifer R Simmons | Physical Therapist | 1623 Haight Ave, #2, Bronx, NY 10461-1503 | 2008-10-28 |
| 1164620159 | Jennifer Simmons | Nurse Practitioner | 250 E Superior St Fl 4, Chicago, IL 60611-2914 | 2007-07-11 |
| 1952525693 | Jennifer Landy Simmons | Local Education Agency (LEA) | 4650 W. Sweetwater Avenue, Glendale, AZ 85304-1505 | 2007-04-12 |
| 1508954090 | Jennifer Mayfield Simmons | Physical Therapist | 2300 Haggerty Rd Ste 1110, West Bloomfield, MI 48323 | 2006-10-10 |
| Street Address |
340 MAGNOLIA CIR |
| City | TYNDALL AFB |
| State | FL |
| Zip Code | 32403-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335319 | Scott Mckim | Optometrist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2005-09-07 |
| 1215577127 | Sherri Lynn Kelley | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2020-01-08 |
| 1285275180 | Tyrome Laron Brown Jr. | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2019-10-01 |
| 1528542297 | Mara Sturk | Psychologist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2018-09-19 |
| 1619488806 | Clairissa Bradford | Social Worker | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-10-16 |
| 1205371069 | Sarah Woodside | Surgery | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-01-03 |
| 1982053617 | Zachary Flink | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-06-03 |
| 1861853533 | Jessica M Barton | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-03-09 |
| 1841668001 | David Morse | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403 | 2015-09-04 |
| 1083096838 | Christopher Davis IIi | Physician Assistant | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2015-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326408063 | Nathaniel Criddle | Dentist | 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 | 2016-02-23 |
| 1952730491 | Erick Laron Jackson | Physical Therapist | 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2013-11-05 |
| 1972830701 | Quan Tram | Pharmacist | 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 | 2009-11-16 |
| 1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
| 1285733907 | 325th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Magnolia Circle, Tyndall Afb, FL 32403 | 2006-09-21 |
| 1093737272 | Walter Edward Calvo | Social Worker | Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-07-24 |
| 1790727865 | Michelle Gautreaux | Nutritionist | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2006-06-12 |
| 1568436962 | 325 Mdg | Psychologist | 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1780658005 | Brant Casford | Radiology | 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1215911573 | Rama Bhyravabhotla | Physician Assistant | 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2005-12-01 |
| Find all providers in zip 32403 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982053617 | Zachary Flink | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-06-03 |
| 1861853533 | Jessica M Barton | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | TYNDALL AFB |
| Zip Code | 32403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.