Organization
DAVID SIMON DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R SIMON DDS (DENTIST)
(845) 362-5300
Entity
Organization
Contact information
Practice address
523 ROUTE 306, SUFFERN, NY 10901-2111
(845) 362-5300
(845) 362-5301
Mailing address
523 ROUTE 306, SUFFERN, NY 10901-2111
(845) 362-5300
(845) 362-5301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02694131
—
NY
Enumeration date
09/09/2007
Last updated
03/15/2010
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