Individual
DR. JEREMY STEPHEN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
191 HWY 64 EAST, ALMA, AR 72921
(479) 430-7049
(479) 430-7051
Mailing address
PO BOX 150, ALMA, AR 72921
(479) 430-7049
(479) 430-7051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR3440
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X479
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/21/2006
Last updated
07/08/2007
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