Individual
DR. ALEC JORDAN SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
24174 US 27 STE 200, LAKE WALES, FL 33859-7807
(863) 679-3229
Mailing address
16300 COUNTY ROAD 455 UNIT 216, MONTVERDE, FL 34756-3643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30248
FL
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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