Prior, Simon R.

Prior, Simon R. is an individual health care provider with primary practice located at 305 W 12Th Ave Dental Faculty Practice Association, Columbus OH 43210-1267. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Allopathic & Osteopathic Physicians / Anesthesiology, Dental Providers / Dentist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Prior, Simon R. can be contacted via phone (614) 247-0002.

Contact Information

Primary practice address
305 W 12Th Ave Dental Faculty Practice Association Columbus OH 43210-1267
Phone: (614) 247-0002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 71-000179 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 71-000179 Ohio
Dental Providers / Dentist 122300000X 0179 Ohio

Profile Details

NPI number 1215084157
LBN Legal business name Prior, Simon R.
Credentials DDS, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated May 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215084157 NPPES
Ohio MEDICAID 2467647

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