Charles Edward Simmons, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

17458 Issued in MD

Practice address

4849 S Cobb Dr SE Ste 111
Smyrna, GA 30080-7129

Phone

(770) 435-5450

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samia Nikkhah, DDS, LLC

  • General Practice Dentistry
  • Rockville, MD
  • NPI 1033838420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1568030211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 S COBB DR SE STE 111",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807129",
            "telephone_number": "770-435-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 S COBB DR SE STE 111",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807129",
            "telephone_number": "770-435-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043189",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17458",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munjal Shroff, DO
• Jamie Shumock, OTR/L
• Jabulani Sidile, M.D.
• Robin Siller
• Aixa I Silvera-Schwartz, M.D.
• Michael D Simpson, M.D.
• Jeffrey Davis Sims, DDS
• Sarah Sims, PA-C
• Regina Simsalston, LMSW
• Ashley Elizabeth Singleton-Brotzge, PHARMD

• Dentist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.