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General NPI Number Information
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NPI Number | 1407051493
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Entity Type | Organization
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Legal Business Name | FRANCIS J SIMOKAITIS DDS, LLC
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3915 WATSON RD SUITE 102
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City | SAINT LOUIS
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State | MO
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Zip | 63109-1251
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Country | US
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Telephone | 314-752-4950
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Fax | 314-645-1875
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Provider Business Mailing Address
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Address Line | 3915 WATSON RD SUITE 102
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City | SAINT LOUIS
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State | MO
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Zip | 63109-1251
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Country | US
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Telephone | 314-752-4950
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Fax | 314-645-1875
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Authorized Official
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Title or Position | DENTIST
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Name | DR. FRANCIS J SIMOKAITIS
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Credential | DDS
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Telephone | 314-752-4950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14512
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License Number State | MO
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