# SIMPLE DENTAL PLLC

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

## Provider details

- **NPI number:** 1740910033
- **Authorized official:** DR. WALEED BEN ELCHAMI DMD (DENTIST/OWNER)
- **Authorized official phone:** (917) 575-5266

## Contact information

- **Practice address:** 1187 3RD AVE, NEW YORK, NY 10021-5401
- **Practice address phone:** (646) 766-8380
- **Mailing address:** 11 W 25TH ST FL 10, NEW YORK, NY 10010-2054
- **Mailing address phone:** (917) 575-5266

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 07/11/2022