Individual provider · Type 1 NPI

Ira R. Simon, DDS

Periodontics · Novato, CA

NPI number 1356415772 Active

Practice location

1730 Novato Blvd, Suite G
Novato, CA 94947-3048

Mailing address

1730 Novato Blvd Ste G
Novato, CA 94947-3048

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X240396 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1356415772

Ira R. Simon, DDS's National Provider Identifier is 1356415772, issued on Nov 17, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Novato, CA. The record was last updated on Jul 8, 2007.