Simon Dental Services Pllc | |
7925 S Broadway Ave Ste 1100 Tyler TX 75703-5227 | |
(903) 213-9799 | |
Not Available |
Full Name | Simon Dental Services Pllc |
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Speciality | Clinic/center - Dental |
Location | 7925 S Broadway Ave Ste 1100, Tyler, Texas |
Authorized Official Name and Position | Robert Anthony Simon (DENTIST) |
Authorized Official Contact | 4096706703 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Simon Dental Services Pllc 2872 Barton Creek Cir Tyler TX 75703-7079 Ph: (409) 670-6703 | Simon Dental Services Pllc 7925 S Broadway Ave Ste 1100 Tyler TX 75703-5227 Ph: (903) 213-9799 |
NPI Number | 1124747258 |
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Provider Enumeration Date | 08/23/2022 |
Last Update Date | 08/23/2022 |
Identifier | Type | State | Issuer |
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1124747258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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