Simon, Jerry M

Simon, Jerry M is an individual health care provider with primary practice located at 1500 Summer St , Stamford CT 06905-5132. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Simon, Jerry M can be contacted via phone (203) 324-6171.

Contact Information

Primary practice address
1500 Summer St Stamford CT 06905-5132
Phone: (203) 324-6171
Fax: (203) 348-5392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4500 Connecticut
Dental Providers / General Practice 1223G0001X 4500 Connecticut

Profile Details

NPI number 1750571964
LBN Legal business name Simon, Jerry M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 2007 - about 19 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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