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Dr. Jacob Simonovich, DDS
General Practice Dentistry in Menomonee Falls, Wisconsin
NPI 1639532955

Jacob Simonovich is a General Practice Dentistry based in Menomonee Falls, WI and is specialized in General Practice. Jacob Simonovich practices in Menomonee Falls, WI and has the professional credentials of DDS. The NPI Number for Jacob Simonovich is 1639532955 and holds a License No. (Wisconsin).

The current practice location address for Jacob Simonovich is N85W16093 Appleton Ave, Menomonee Falls, WI and can be reached out via phone at 262-253-9797.

Location: N85W16093 Appleton Ave, Menomonee Falls, WI, 53051-3088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639532955
Provider Name
Jacob Simonovich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
N85W16093 Appleton Ave, Menomonee Falls, WI, 53051-3088
Phone Number
262-253-9797
Fax Number
Provider Enumeration Date
04/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N85W16093 Appleton Ave
City
Menomonee Falls
State
Wisconsin
Zip
53051-3088
Phone Number
262-253-9797
Fax Number
person
Provider Business Mailing Address Details
Address
N85W16093 Appleton Ave
City
Menomonee Falls
State
Wisconsin
Zip
53051-3088
Phone Number
262-253-9797
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1001324-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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