Park, Simon

Park, Simon is an sole proprietor health care provider with primary practice located at 7584 E State Route 69 , Prescott Valley AZ 86314-2278. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Simon can be contacted via phone (928) 499-3061.

Contact Information

Primary practice address
7584 E State Route 69 Prescott Valley AZ 86314-2278
Phone: (928) 499-3061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901600308 Michigan

Profile Details

NPI number 1962051292
LBN Legal business name Park, Simon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2019
Last updated Aug 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers