Individual
DR. THOMAS H SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-9754
(231) 834-1895
Mailing address
11 N MAPLE ST, PO BOX 7, GRANT, MI 49327-7900
(231) 834-9754
(231) 834-1895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901019838
MI
1223P0221X
Pediatric Dentistry
Primary
2901019838
MI
1223P0221X
Pediatric Dentistry
DT-2349
HI
Other
Enumeration date
06/26/2008
Last updated
09/08/2015
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