Dr. Robert Lawrence Simon
Prosthodontist
1321 N Harbor Blvd Ste 203
Fullerton
, California 92835-4130
Dr. Robert Lawrence Simon
Prosthodontist
1321 N Harbor Blvd Ste 203
Fullerton
, California 92835-4130
(714) 525-5998
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Robert Lawrence Simon
- 1321 N Harbor Blvd Ste 203
- Fullerton, CA
- Zip : 92835-4130
- Fax : (714) 525-5998
- Phone : (714) 525-5200
Second Address
- Dr. Robert Lawrence Simon
- 1321 N Harbor Blvd Ste 203
- Fullerton, CA
- Zip : 92835-4130
- Fax : (714) 525-5998
- Phone : (714) 525-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 24180 | CA |
National Provider Identifier
| NPI | 1134147119 |
|---|---|
| Provider Name | Dr. Robert Lawrence Simon |
| First Address | Fullerton, CA 92835-4130 |
| Second Address | Fullerton, CA 92835-4130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 24180 | DENTAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.