Provider Demographics
NPI:1528570157
Name:SIMLEY DENTAL-LANCASTER PLLC
Entity Type:Organization
Organization Name:SIMLEY DENTAL-LANCASTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SONYMEENA
Authorized Official - Middle Name:I
Authorized Official - Last Name:SETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-373-8819
Mailing Address - Street 1:10200 INDEPENDENCE PKWY APT 1002
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-8217
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1445 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1308
Practice Address - Country:US
Practice Address - Phone:847-373-8819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-05
Last Update Date:2017-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty