Simoneaux, Richard James

Simoneaux, Richard James is an sole proprietor health care provider with primary practice located at 4566 N 1St Ave Ste 150, Tucson AZ 85718-5685. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Simoneaux, Richard James can be contacted via phone (520) 742-4118.

Contact Information

Primary practice address
4566 N 1St Ave Ste 150 Tucson AZ 85718-5685
Phone: (520) 742-4118
Fax: (520) 742-0126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2529 Arizona

Profile Details

NPI number 1780718163
LBN Legal business name Simoneaux, Richard James
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
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 1780718163 NPPES
Arizona Other 083543 AHCCCS ID

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