Organization · Type 2 NPI
Simon Dental Services PLLC
Dental Clinic/Center · Tyler, TX
NPI number
1124747258
Active
Practice location
7925 S Broadway Ave Ste 1100
Tyler, TX 75703-5227
Mailing address
2872 Barton Creek Cir
Tyler, TX 75703-7079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1124747258
Simon Dental Services PLLC's National Provider Identifier is 1124747258, issued on Aug 23, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tyler, TX. The record was last updated on Aug 23, 2022.