Willard Lee Simons, DDS
Individual provider Active NPI General Practice Dentistry · Cuba, NY
NPI 1740356302 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740356302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 030047 (NY)
- Practice address
- 130 West Main Street
Cuba, NY 14727 - Phone
- (585) 968-3170
- Fax
- (585) 968-3171
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 030047 | NY | Yes |
Addresses
Primary practice location
130 West Main Street
Cuba, NY 14727
Mailing address
130 West Main Street
Cuba, NY 14727
Phone (585) 968-3170
Other providers in Cuba, NY
- Angela Ritchie
- Jeanine Sue Rose
- Sandra Scharf
- Jonathan Shaya Sessler
- Steven Sessler
- Willard Nicholas Simons
- Maggie Jane Smith-Pomeroy
- Brittany Marie Smith
- Carolyn Joan Smith
- Patti-Jo Smith
All providers in Cuba, NY · General Practice Dentistry in New York
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.