Simckes, Kenneth Michael

Simckes, Kenneth Michael is an individual health care provider with primary practice located at 2 Tauber Ter , Monsey NY 10952-1645. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Simckes, Kenneth Michael can be contacted via phone (845) 354-1441.

Contact Information

Primary practice address
2 Tauber Ter Monsey NY 10952-1645
Phone: (845) 354-1441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 042997 New York

Profile Details

NPI number 1891783031
LBN Legal business name Simckes, Kenneth Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891783031 NPPES
New York MEDICAID 01422619

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