Individual
DR. SAMANTHA JO SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2820 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3918
(303) 604-2804
Mailing address
2820 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3918
(303) 604-2804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12632
TN
122300000X
Dentist
Primary
2024040277
MO
122300000X
Dentist
DEN202695
CO
Other
Enumeration date
11/02/2015
Last updated
03/21/2025
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