DR. THOMAS H SIMON DDS NPI 1073775516

NPI Information

NPI: 1073775516
Provider Name: DR. THOMAS H SIMON, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
11 N MAPLE ST
GRANT, MI
ZIP 49327
Phone: (231) 834-9754
Get Directions

DR. Thomas H Simon, DDS is a pediatric dentistry dentist in Grant, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Thomas H Simon, DDS NPI is 1073775516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11 N MAPLE ST
GRANT, MI
ZIP 49327-900
Phone: (231) 834-9754
Fax: (231) 834-1895

The NPI 1073775516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/26/2008 and was last updated on 9/8/2015.

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
1	1223G0001X	Dentist	General Practice	2901019838	MICHIGAN	No
2	1223P0221X	Dentist	Pediatric Dentistry	DT-2349	HAWAII	No
3	1223P0221X	Dentist	Pediatric Dentistry	2901019838	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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