Kenneth Peter Simmons
Dentist - General Practice • Baltimore, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Simmons has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kenneth Simmons was a registered Dentist - General Practice practicing in Baltimore, MD. Throughout an active medical career spanning 9 years, Kenneth Simmons provided care at the practice location at 3639 LIBERTY HEIGHTS AVE until profile deactivation on 2018-10-16.
Practice Location & Contact Primary Location
3639 Liberty Heights Ave
Baltimore, MD 212157175
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Baltimore, MD
Practicing in Baltimore, MD (2555 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
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Record deactivated on October 16, 2018
NPI status registered as active in NPPES database
Registered at 3639 LIBERTY HEIGHTS AVE, BALTIMORE, MD 212157175 (Tel: 4106642503)
Registered at 3639 LIBERTY HEIGHTS AVE, BALTIMORE, MD 212157175 (Tel: 4106642503)
Recorded as KENNETH SIMMONS
Dentist (License #7749 in MD)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3639 Liberty Heights Ave
Baltimore, MD 212157175
Phone: 4106642503
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.