Provider Demographics
NPI:1740353390
Name:SIMONSEN, ARTHUR REX (DDS)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:REX
Last Name:SIMONSEN
Suffix:
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 1:50 FLOWERS COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-5491
Mailing Address - Country:US
Mailing Address - Phone:919-585-5333
Mailing Address - Fax:
Practice Address - Street 1:50 FLOWERS COMMERCE DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-5491
Practice Address - Country:US
Practice Address - Phone:919-585-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC080761223G0001X
WIWI3652122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33490500Medicaid
WI33490500Medicaid