Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629034277 Individual Practitioner Male Practitioner

Dr. Ronny Michael Simmons , DDS

Dentist - General Practice • Randolph Afb, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ronny Simmons, DDS is a registered healthcare professional specializing in Dentist - General Practice in Randolph Afb, TX. Practice services are available at 12TH ADS/SGGD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12th Ads/sggd
221 3rd Street West, Bldg 1040

Randolph Afb, TX 781504801

Telephone 2106521846
Fax 2106521368

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Randolph Afb, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Randolph Afb, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License LA 3204

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

11 Associated Practitioners
Dr. Jennifer Kim , DDS

Dentist - General Practice

NPI 1013402692

Doctor of Dental Surgery

Dr. John Mcdonald , DDS

Dentist - General Practice

NPI 1023004405

Doctor of Dental Surgery

NPI 1114447869

Doctor of Dental Medicine

Dr. Phillip Sandefur , DDS

Dentist - General Practice

NPI 1306993043

Doctor of Dental Surgery

Eun Jung Berry , RDH

Dental Hygienist

NPI 1407950587

Registered Dental Hygienist

Dr. Federico Aquino , DDS

Dentist - General Practice

NPI 1417926452

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12TH ADS/SGGD, 221 3RD STREET WEST, BLDG 1040, RANDOLPH AFB, TX 781504801 (Tel: 2106521846)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3139 RUSTIC OAK, SAN ANTONIO, TX 782612211 (Tel: 8309804949)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RONNY SIMMONS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3204 in LA)

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Initial NPI Registration & Enumeration April 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629034277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3139 Rustic Oak

San Antonio, TX 782612211

Phone: 8309804949

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.