DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK S SIMON, DHA

Active Sole Proprietor

Dental Hygienist · NOME, AK

Registration Details

NPI Number
1760759245
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2011 (14.404674708528 yrs)
Last Updated
Feb 22, 2026
License
07-045-EFDHA I (AK)
Sole Proprietor
Yes

Practice Information

Address
306 WEST FIFTH AVENUE
NOME, AK, 99762
Browse AK providers · Browse ZIP 99762
Phone
9074433309
Fax
9074433466
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in NOME, AK

Name Credential NPI
ROCHELLE SELENE FERRY DHAT 1023385580
AURORA JOHNSON 1720357197
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.