# SIMPSON ORAL AND MAXILLOFACIAL SURGERY PC

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

## Provider details

- **NPI number:** 1528235074
- **Authorized official:** DIANE M CAIN (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (845) 623-3497

## Contact information

- **Practice address:** 113 N MIDDLETOWN RD, NANUET, NY 10954-1929
- **Practice address phone:** (845) 623-3497
- **Practice address fax:** (845) 623-4039
- **Mailing address:** 113 NORTH MIDDLETOWN RD, NANUET, NY 10954
- **Mailing address phone:** (845) 623-3497
- **Mailing address fax:** (845) 623-4039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 42385 | NY | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 08/01/2019
