D Sim Siceloff Iii Dds

LBN: D Sim Siceloff Dds Pa
D Sim Siceloff Iii Dds is an health care organization with primary practice located at 19 East Second Avenue , Lexington NC 27292. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. D Sim Siceloff Dds Pa can be contacted via phone (336) 249-6524, or through Siceloff, David Simeon via phone (336) 249-6524.

Contact Information

Primary practice address
19 East Second Avenue Lexington NC 27292
Phone: (336) 249-6524
Fax: (336) 248-1060
Website:
Map and Directions
Authorized official contact:
Name: Siceloff, David Simeon Doctor of Dental Surgery (DDS)
Phone: (336) 249-6524

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1902983067
LBN Legal business name D Sim Siceloff Dds Pa
DBA Doing business as D Sim Siceloff Iii Dds
Authorized official Siceloff, David Simeon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 8th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902983067 NPPES
North Carolina MEDICAID 8997790

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