| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124747258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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