Simeone, Mark

Simeone, Mark is an individual health care provider with primary practice located at 1500 Horizon Dr 104, Chalfont PA 18914-3966. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Simeone, Mark can be contacted via phone (215) 997-9980.

Contact Information

Primary practice address
1500 Horizon Dr 104 Chalfont PA 18914-3966
Fax: (215) 646-6166
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS035396 Pennsylvania

Profile Details

NPI number 1346310620
LBN Legal business name Simeone, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Feb 15th, 2013 - about 12 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 1346310620 NPPES
Pennsylvania MEDICAID 101218380

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