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

Jaret Simonsen, DMD

Individual provider Periodontics · NPI 1689396442

Jaret Simonsen, DMD is a Periodontics in Prescott, Arizona. Licensed in Arizona and Texas. Registered with an NPI since 2022.

Licensed in
AZ, TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3124 Stillwater Dr
Prescott, AZ 86305-7151
Phone: (928) 778-2340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D012445 (AZ)
Periodontics Taxonomy 1223P0300X · Licence ETN996 (TX)

Record details

NPI number1689396442
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address3124 Stillwater Dr, Prescott, AZ 86305-7151

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