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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205177813

Nick Simon, DMD is a Student in an Organized Health Care Education/Training Program in Elmont, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2
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

476 Elmont Rd
Elmont, NY 11003-3530
Phone: (516) 354-5805
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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 057609 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205177813
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 6, 2013
Last updated in NPPESSeptember 9, 2014
Mailing address476 Elmont Rd, Elmont, NY 11003-3530

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