Simon Joseph Adir, DDS
Individual provider Active NPI General Practice Dentistry · Plantation, FL
NPI 1407079247 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407079247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN11415 (FL)
- Practice address
- 180 SW 84TH Avenue
Plantation, FL 33324 - Phone
- (954) 476-4535
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN11415 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN11415 | FL | Yes |
Addresses
Primary practice location
180 SW 84TH Avenue
Plantation, FL 33324
Mailing address
1733 Victoria Pointe Circle
Weston, FL 33327
Phone (954) 389-1862
Other providers in Plantation, FL
- Marcquan Adderly
- Sharon N. Addy
- Abimbola Adegborioye
- Adept Behavioral Management
- Rilwan Adigun
- Anthony Lamar Adkins
- Jay B Adler
- Advance Pain & Wellness Centers
- Advanced Dental Care of Plantation
- Advanced Dentistry of Plantation
All providers in Plantation, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.