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

Keith Gerard Simons, DDS

Individual provider Dentist · NPI 1679868111

Keith Gerard Simons, DDS is a Dentist in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1204 Merrill Ave
Wausau, WI 54401
Phone: (715) 842-3704
Fax: (715) 842-4207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6716-15 (WI)
Dentist Taxonomy 122300000X · Licence 6716015 (WI)

Record details

NPI number1679868111
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 13, 2011
Last updated in NPPESDecember 18, 2024
Mailing address1204 Merrill Ave, Wausau, WI 54401

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