Coral Simantov-Maman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.10522 Issued in SC

Practice address

2051 Sam Rittenberg Blvd
Charleston, SC 29407-4683

Phone

(843) 779-6844

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1255048278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PEPPERBUSH ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074683",
            "telephone_number": "843-779-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANTOV-MAMAN",
        "first_name": "CORAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.10522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Robert Silverman, MD
• Gerard A Silvestri, MD
• Nicholas Silvestri, PHARM.D.
• Clarence Gunnar Silvis, DO
• Tonya Simano
• Suzanne Marie Simkovich, M.D., M.S.
• Deborah Simmons-Orage, MED, MA, CCC-SLP
• Valley S Simmons-Roland
• Ameika Michelle Simmons
• Angela L Simmons, COTA

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.