# SIMPLE DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dntl bar Union Sq
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508462219
- **Authorized official:** DR. WALEED BEN ELCHAMI DMD (DENTIST)
- **Authorized official phone:** (201) 803-7591

## Contact information

- **Practice address:** 841 BROADWAY, NEW YORK, NY 10003-4704
- **Practice address phone:** (646) 502-9770
- **Mailing address:** 60 W 23RD ST APT 919, NEW YORK, NY 10010-5296
- **Mailing address phone:** (201) 803-7591

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 07/11/2022