# SIMON DENTAL SERVICES PLLC

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

## Provider details

- **NPI number:** 1124747258
- **Authorized official:** DR. ROBERT ANTHONY SIMON DDS (DENTIST)
- **Authorized official phone:** (409) 670-6703

## Contact information

- **Practice address:** 7925 S BROADWAY AVE STE 1100, TYLER, TX 75703-5227
- **Practice address phone:** (903) 213-9799
- **Mailing address:** 2872 BARTON CREEK CIR, TYLER, TX 75703-7079
- **Mailing address phone:** (409) 670-6703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2022
- **Last updated:** 08/23/2022