Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Simon, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093502619

Dr. Michael Simon, DMD is a Student in an Organized Health Care Education/Training Program in LA Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7410 Boston Ct
LA Mesa, CA 91941-6890
Phone: (619) 337-5374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1093502619
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address7410 Boston Ct, La Mesa, CA 91941-6890

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