Paul L Simon DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013028 Issued in MI

Legal business name

PAUL L SIMON DDS PLC

Doing business as

South Lyon Dental Care Center

Practice address

21800 Pontiac Trail
Ste 100
South Lyon, MI 48178

Phone

(248) 437-8300

Fax

(248) 437-8066

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul L Simon, DDS

Title

Dentist Member

Phone

(248) 437-8300

Specialties & licenses 1

Addresses

Other names 1

• South Lyon Dental Care Center Doing business as

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1497883532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 PONTIAC TRAIL",
            "address_2": "STE 100",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "48178",
            "telephone_number": "248-437-8300",
            "fax_number": "248-437-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 PONTIAC TRAIL",
            "address_2": "STE 100",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "48178",
            "telephone_number": "248-437-8300",
            "fax_number": "248-437-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L SIMON DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST MEMBER",
        "authorized_official_telephone_number": "248-437-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lyon Dental Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paradise Elderly Care, LLC
• Bina Ajit Patel
• Parisma Patel, DPT
• Meghna S Pathak, M.D
• Paul Corte, LMSW
• Ryan Edward Pawloski, PT, DPT
• Jamie J Penn, D.C.
• Jessica Pepper, DPT
• Performance Psychology
• Diane Lynn Perry, ACSM-CEP

• General Practice Dentistry in South Lyon, MI
• Providers in South Lyon, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.