Individual provider · NPI-1

Dr. Simon Joseph Adir, DDS

Dentist, General Practice · Plantation, FL

NPI number1407079247
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407079247
Entity type
Individual (NPI-1)
Name
Dr. Simon Joseph Adir
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 10, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN11415FLYes

Practice location

180 Sw 84th Avenue
Plantation, FL 33324

Phone 954-476-4535

Mailing address

1733 Victoria Pointe Circle
Weston, FL 33327

Phone 954-389-1862

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