Individual
DAVID R SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
(845) 362-5300
(845) 362-5301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02694131
—
NY
Enumeration date
12/11/2006
Last updated
08/07/2009
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