Individual
DR. RICHARD P SIMITIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
41 OAK AVE, WORCESTER, MA 01605-2730
(508) 791-0943
(508) 792-0366
Mailing address
41 OAK AVE, WORCESTER, MA 01605-2730
(508) 791-0943
(508) 792-0366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X04560
BCBS PROVIDER#FOR INS
MA
Enumeration date
06/21/2005
Last updated
07/08/2007
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