| David Simon Dds, P.c. | |
|
523 Route 306 Suffern NY 10901-2111 | |
| (845) 362-5300 | |
| (845) 362-5301 |
| Full Name | David Simon Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 523 Route 306, Suffern, New York |
| Authorized Official Name and Position | David R Simon (DENTIST) |
| Authorized Official Contact | 8453625300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Simon Dds, P.c. 523 Route 306 Suffern NY 10901-2111 Ph: (845) 362-5300 | David Simon Dds, P.c. 523 Route 306 Suffern NY 10901-2111 Ph: (845) 362-5300 |
| NPI Number | 1215122627 |
|---|---|
| Provider Enumeration Date | 09/09/2007 |
| Last Update Date | 03/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215122627 | NPI | - | NPPES |
| 02694131 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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