Simon Dental Services PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SIMON DENTAL SERVICES PLLC

Doing business as

Simon Family Dental

Practice address

7925 S Broadway Ave Ste 1100
Tyler, TX 75703-5227

Phone

(903) 213-9799

NPI assigned

Aug 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Anthony Simon, DDSNPI 1619352499

Title

Dentist

Phone

(409) 670-6703

Specialties & licenses 1

Addresses

Other names 1

• Simon Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Anthony Simon, DDS

  • Dentist
  • Tyler, TX
  • NPI 1619352499
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1124747258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 BARTON CREEK CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037079",
            "telephone_number": "409-670-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 S BROADWAY AVE STE 1100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035227",
            "telephone_number": "903-213-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "409-670-6703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anquenette Simien
• Jane D Simmons, LPC
• Mitchel J.D. Simmons, PTA
• Patricia Brooke Simmons, WHNP
• Stephanie Jernigan Simmons, PSYD
• Robert Anthony Simon, DDS
• Paige Lackey Simons, PA-C
• Zackery Ryan Simons
• Simply Serenity Healthcare Agency LLC
• Simply Serenity Healthcare Agency LLC

• Dental Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.