Active NPIIndividual providerSole proprietor

Dr. Simon Pun, DDS

Dentist in Bristol, Connecticut

NPI Number1861002487
Practice location
123 Farmington Ave, Bristol, CT 06010-4200
Fax
—
Last updated
August 7, 2020

Simon Pun is a Dentist based in Bristol, CT. Simon Pun practices in Bristol, CT and has the professional credentials of DDS. The NPI Number for Simon Pun is 1861002487 and holds a License No. 12835 (CT). The current practice location address for Simon Pun is 123 Farmington Ave, Bristol, CT 06010-4200 and can be reached out via phone at 860-845-8872.

Provider Profile Details

NPI Number
1861002487
Provider Name
Simon Pun
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
123 Farmington Ave, Bristol, CT 06010-4200
Phone Number
860-845-8872
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 7, 2020
Last Update Date
August 7, 2020
Certification Date
August 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Farmington Ave
Bristol, CT 06010-4200
Zip
06010-4200
Phone Number
860-845-8872
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
6970 182ND St
Fresh Meadows, NY 11365-3534
City
Fresh Meadows
State
NY
Zip
11365-3534
Phone Number
443-995-2829

License Information

License Number
12835
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Simon Pun, DDS?

The NPI number of Dr. Simon Pun, DDS is 1861002487. It was assigned on August 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Simon Pun, DDS?

Dr. Simon Pun, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 12835.

Where does Dr. Simon Pun, DDS practice?

The practice location is 123 Farmington Ave, Bristol, CT 06010-4200. The office can be reached at 860-845-8872 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861002487 directly on the NPPES registry website.

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