Individual
DR. KENNETH MICHAEL SIMCKES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2 TAUBER TER, MONSEY, NY 10952-1645
(845) 354-1441
Mailing address
2 TAUBER TER, MONSEY, NY 10952-1645
(845) 354-1441
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
042997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01422619
—
NY
Enumeration date
10/12/2005
Last updated
07/08/2007
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