Individual
JARET SIMONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3124 STILLWATER DR, PRESCOTT, AZ 86305-7151
(928) 778-2340
Mailing address
3124 STILLWATER DR, PRESCOTT, AZ 86305-7151
(928) 778-2340
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D012445
AZ
1223P0300X
Periodontics
ETN996
TX
Other
Enumeration date
09/16/2022
Last updated
04/29/2025
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