Individual
DR. JACOB C SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-3408
(860) 679-2000
Mailing address
1708 FRANKLIN ST, OAKLAND, CA 94612-3408
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
13034
CT
1223G0001X
General Practice Dentistry
105764
CA
1223G0001X
General Practice Dentistry
Primary
13034
CT
Other
Enumeration date
11/02/2020
Last updated
10/01/2025
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