SIMONCIC DDS PLLC NPI 1699116111

NPI Information

  • NPI: 1699116111
  • Provider Name: SIMONCIC DDS PLLC
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: TRIAD ORAL SURGERY
  • Address: 2017 EASTCHESTER DR
    STE 101
    HIGH POINT, NC
    ZIP 27265
  • Phone: (336) 307-3107

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NPI Details

SIMONCIC DDS PLLC is an oral and maxillofacial surgery clinic center in High Point, NC. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SIMONCIC DDS PLLC NPI is 1699116111. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Triad Oral Surgery.

The provider's business location address is:

2017 EASTCHESTER DR
STE 101
HIGH POINT, NC
ZIP 27265-559
Phone: (336) 307-3107

The provider's authorized official is Harriet H English .
The authorized official title is Office Manager and has the following contact phone number (336) 307-3107.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery7546NORTH CAROLINANo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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