Search › Indiana › 1223G0001X
Tavian Simmons, DDS
NPI 1851038384 · on the registry since 2022 · sole proprietor
Practice
- Address
- 550 N. University Blvd Ste. 3195
Indianapolis, IN 46202 - Phone
- (317) 274-5315
- Organisation at this address
- University Surgeons Pediatrics Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
390200000X - Licence states on file
- NC, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana