Provider Demographics
NPI:1740896612
Name:DAVID SIMEK, DDS, PLLC
Entity type:Organization
Organization Name:DAVID SIMEK, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:REGAN
Authorized Official - Last Name:SIMEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-300-8000
Mailing Address - Street 1:10901 QUAKER AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8315
Mailing Address - Country:US
Mailing Address - Phone:806-300-8000
Mailing Address - Fax:806-794-9947
Practice Address - Street 1:10901 QUAKER AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-8315
Practice Address - Country:US
Practice Address - Phone:806-300-8000
Practice Address - Fax:806-794-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental