# SIMON DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simon Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124493069
- **Authorized official:** DR. DANIEL J SIMON DMD (DOCTOR/OWNER)
- **Authorized official phone:** (270) 782-5115

## Contact information

- **Practice address:** 625 THREE SPRINGS RD, BOWLING GREEN, KY 42104-7528
- **Practice address phone:** (270) 782-5115
- **Practice address fax:** (270) 782-5114
- **Mailing address:** 625 THREE SPRINGS RD, BOWLING GREEN, KY 42104-7528
- **Mailing address phone:** (270) 782-5115
- **Mailing address fax:** (270) 782-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | KY | Yes |

## Other

- **Enumeration date:** 12/03/2015
- **Last updated:** 12/03/2015