Provider Demographics
NPI:1316936875
Name:SIMER, NEWTON DALE II (DDS)
Entity type:Individual
Prefix:DR
First Name:NEWTON
Middle Name:DALE
Last Name:SIMER
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5602
Mailing Address - Country:US
Mailing Address - Phone:918-748-8850
Mailing Address - Fax:
Practice Address - Street 1:725 W MAIN ST
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-3518
Practice Address - Country:US
Practice Address - Phone:918-299-2298
Practice Address - Fax:918-299-2470
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5517122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist