Mitchell Jack Simon, D.M.D

General Practice Dentistry · Baldwin Harbor, NY

Individual Active NPI

NPI number 1821026600

Practice location

960 Atlantic Ave
Baldwin Harbor, NY 11510-4241
Phone
(516) 377-1818
Fax
(515) 377-1831

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NPI record

NPI
1821026600
Entity type
Individual (Type 1)
Enumeration date
June 29, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 034526 NY

About Dr. Simon

Mitchell Jack Simon, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 960 Atlantic Ave, Baldwin Harbor, NY 11510-4241. The NPI number 1821026600 was assigned on June 29, 2006 and the record was last updated on July 8, 2007.

Dr. Simon lists a license in the registry: #034526 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitchell Jack Simon, D.M.D?

The NPI number is 1821026600.

What is the phone number of Dr. Simon?

The phone number listed for the practice location is (516) 377-1818.

Where is Dr. Simon located?

960 Atlantic Ave, Baldwin Harbor, NY 11510-4241.

What is the taxonomy code for Dr. Simon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.