Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JEFFREY SIMON, DDS
ActiveDR. MICHAEL JEFFREY SIMON, DDS is a Periodontology healthcare provider located in EAST ORANGE, New Jersey. NPI 1083620439 is currently active in the NPPES registry. Verify at CMS.
Periodontology · EAST ORANGE, NJ
Registration Details
- NPI Number
- 1083620439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.084657847816 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DI11071 (NJ)
Practice Information
- Address
-
385 TREMONT AVEDENTAL SERVICE (160)EAST ORANGE, NJ, 070181023Browse NJ providers · Browse ZIP 07018
- Phone
- 9736761000
- Fax
- 9733957019
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.