Simoncic DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SIMONCIC DDS PLLC

Practice address

2017 Eastchester Dr
Ste 101
High Point, NC 27265-1559

Phone

(336) 307-3107

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Harriet H English

Title

Office Manager

Phone

(336) 307-3107

Specialties & licenses 2

Addresses

Other names 1

• Triad Oral Surgery Doing business as

Locations

Practitioners 2

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

• Suzie Hearan Choe, DDS, MS

  • Periodontics
  • Asheboro, NC
  • NPI 1023871258
  NPD (past)
• Stefan John Simoncic, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • High Point, NC
  • NPI 1780780767
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1699116111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 EASTCHESTER DR STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651560",
            "telephone_number": "336-307-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 EASTCHESTER DR",
            "address_2": "STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651559",
            "telephone_number": "336-307-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 S Fayetteville St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035701",
            "country_code": "US",
            "telephone_number": "336-696-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMONCIC DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-307-3107"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7546",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Y Shytle
• Sarah Sianis, RPH
• Kevin Ronald Sidden, LPC
• Karen Hughes Sikes
• Edwin Silva Zapata, M.D.
• Stefan John Simoncic, D.D.S.
• Cynthia Bowling Simpson, LCSW
• Katelynne Poole Simpson, PA-C
• Nancy Costanzo Simpson, RD LDN
• Vikas Singh, MMS, DMD

• Oral and Maxillofacial Surgery Clinic/Center in High Point, NC
• Providers in High Point, NC by specialty
• Oral and Maxillofacial Surgery Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.