Simon, David R
Simon, David R is an individual health care provider with primary practice located at 523 Route 306 , Suffern NY 10901-2111. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Simon, David R can be contacted via phone (845) 362-5300.Contact Information
Primary practice address
523 Route 306
Suffern NY 10901-2111
Phone: (845) 362-5300
Fax: (845) 362-5301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 048188 | New York |
Profile Details
| NPI number | 1730249442 |
|---|---|
| LBN Legal business name | Simon, David R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Aug 7th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730249442 | NPPES |
| New York | MEDICAID | 02694131 |
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