| Simpson Oral And Maxillofacial Surgery Pc | |
|
113 N Middletown Rd Nanuet NY 10954-1929 | |
| (845) 623-3497 | |
| (845) 623-4039 |
| Full Name | Simpson Oral And Maxillofacial Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 113 N Middletown Rd, Nanuet, New York |
| Authorized Official Name and Position | Diane M Cain (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 8456233497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simpson Oral And Maxillofacial Surgery Pc 113 North Middletown Rd Nanuet NY 10954 Ph: (845) 623-3497 | Simpson Oral And Maxillofacial Surgery Pc 113 N Middletown Rd Nanuet NY 10954-1929 Ph: (845) 623-3497 |
| NPI Number | 1528235074 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 08/01/2019 |
| Medicare PECOS PAC ID | 2668644071 |
|---|---|
| Medicare Enrollment ID | O20111007000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528235074 | NPI | - | NPPES |
| 01280620 | Medicaid | NY | |
| SD323 | Other | NY | OXFORD |
| RS279 | Other | NY | OXFORD |
| 747990 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 42385 (New York) | Primary |
| Provider Name | Brian D Simpson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326074808 PECOS PAC ID: 3476725888 Enrollment ID: I20111007000053 |
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