Simon, Jerry M
Simon, Jerry M is an individual health care provider with primary practice located at 1500 Summer St , Stamford CT 06905-5132. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Simon, Jerry M can be contacted via phone (203) 324-6171.Contact Information
Primary practice address
1500 Summer St
Stamford CT 06905-5132
Phone: (203) 324-6171
Fax: (203) 348-5392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4500 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | 4500 | Connecticut |
Profile Details
| NPI number | 1750571964 |
|---|---|
| LBN Legal business name | Simon, Jerry M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Jul 25th, 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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