Simons, Tamara Lynn

Simons, Tamara Lynn is an sole proprietor health care provider with primary practice located at 1912 Lexington Ave N Suite 100, Roseville MN 55113-6154. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Simons, Tamara Lynn can be contacted via phone (651) 489-1900.

Contact Information

Primary practice address
1912 Lexington Ave N Suite 100 Roseville MN 55113-6154
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10509 Minnesota

Profile Details

NPI number 1437139870
LBN Legal business name Simons, Tamara Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated May 1st, 2008 - 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 1437139870 NPPES
Minnesota Other 171LSI BCBS
Minnesota Other 116018400 BCBS

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