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Provider Information for 1518188796

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. PRAVEEN K SIMLOTE DDS

Gender: MALE

Individual NPI: 1518188796

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1518188796
Enumeration Date 2007-05-02
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 6607 KINNE RD.
DEWITT, NY 13214
United States

Phone: 315-446-6406 | Fax:
View Map External Link
Primary Practice Address 6607 KINNE RD.
DEWITT, NY 13214
United States

Phone: 315-446-6406 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 35492