Provider Demographics
NPI:1649949801
Name:SIMINDINGER, JOHN JEFFREY (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JEFFREY
Last Name:SIMINDINGER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 SLABTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-2204
Mailing Address - Country:US
Mailing Address - Phone:419-230-0776
Mailing Address - Fax:
Practice Address - Street 1:4440 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-3031
Practice Address - Country:US
Practice Address - Phone:937-252-8651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0266481223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics