Simon Mina Ghattas, D.M.D., M.S.

Endodontics · Stuart, FL

Individual Active NPI

NPI number 1053549782

Practice location

903 SE Ocean Blvd Ste 1
Stuart, FL 34994-2475
Phone
(772) 221-3700

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NPI record

NPI
1053549782
Entity type
Individual (Type 1)
Enumeration date
July 1, 2009
Last updated
May 13, 2025
Certified
May 13, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X DN18903 FL
Dentist 122300000X 755 FL

About Dr. Ghattas

Simon Mina Ghattas, D.M.D., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 903 SE Ocean Blvd Ste 1, Stuart, FL 34994-2475. The NPI number 1053549782 was assigned on July 1, 2009 and the record was last updated on May 13, 2025.

Dr. Ghattas lists 2 licenses in the registry: #DN18903 (FL) for Endodontics; #755 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Simon Mina Ghattas, D.M.D., M.S.?

The NPI number is 1053549782.

What is the phone number of Dr. Ghattas?

The phone number listed for the practice location is (772) 221-3700.

Where is Dr. Ghattas located?

903 SE Ocean Blvd Ste 1, Stuart, FL 34994-2475.

What is the taxonomy code for Dr. Ghattas?

The primary taxonomy code is 1223E0200X – Endodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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