# SOUTH PATERSON DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215103841
- **Authorized official:** DR. MARC SIMON D.D.S (DENTIST)
- **Authorized official phone:** (973) 881-7800

## Contact information

- **Practice address:** 32 HINE ST, SUITE 106, PATERSON, NJ 07503-2955
- **Practice address phone:** (073) 881-7800
- **Mailing address:** 32 HINE ST, SUITE 106, PATERSON, NJ 07503-2955
- **Mailing address phone:** (073) 881-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DIO1100900 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | 22DIO1125900 | NJ | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 22DIO2197800 | NJ | — |

## Other

- **Enumeration date:** 05/04/2008
- **Last updated:** 05/04/2008