IndividualActive
Angel Simmons
NPI 1952930778 · Dental Hygienist · Reston, VA
Provider details
- NPI number
- 1952930778
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3999 (SC)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
11503 Sunrise Valley Dr
Reston, VA 20191-1505
Phone: (703) 860-3200
Approximate (ZIP-level) locationGet directions
Mailing address
5125 Delta St
North Charleston, SC 29406-6350
Registry dates
- Enumerated
- 2020-04-03
- Last updated
- 2020-04-03
- Certified
- 2020-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.