Simon, Derek S

Simon, Derek S is an sole proprietor health care provider with primary practice located at 306 West Fifth Avenue , Nome AK 99762. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Simon, Derek S can be contacted via phone (907) 443-3309.

Contact Information

Primary practice address
306 West Fifth Avenue Nome AK 99762
Phone: (907) 443-3309
Fax: (907) 443-3466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 07-045-EFDHA I Alaska

Profile Details

NPI number 1760759245
LBN Legal business name Simon, Derek S
Credentials DHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 15 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