Individual
JOHN CARL SIMKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
990 MAIN ST, EAST GREENWICH, RI 02818-3187
(401) 885-8575
(401) 885-8577
Mailing address
990 MAIN ST, EAST GREENWICH, RI 02818-3187
(401) 885-8575
(401) 885-8577
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1655
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145482
UNITED SENIOR-COV
RI
01
—
145483
UNITED SENIOR-EG
RI
01
—
145484
UNITED HEALTH SENIOR-PAWT
RI
01
—
2001655
DELTA DENTAL -PAWT
RI
01
—
201298
BLUE CHIP
RI
01
—
3068099
AETNA HMO EG
RI
01
—
3068101
AETNA HMO- COV
RI
01
—
3068102
AETNA-HMO
RI
01
—
4001655
DELTA DENTAL -EG
RI
01
—
5001655
DELTA DENTAL-COV
RI
01
—
5657159
AETNA
RI
01
—
8000056
UNITED HEALTH-EG
RI
01
—
8000057
UNITED HEALTH-COV
RI
01
—
8000075
UNITED HEALTH-PAWT
RI
01
—
8356-2
BLUE CROSS-PAWT
RI
01
—
8442-0
BLUE CROSS-EG
RI
01
—
8447-5
BLUE CROSS-COV
RI
Enumeration date
07/05/2006
Last updated
02/05/2008
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