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

Simon Wolfgang Tomazic, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114868825

Simon Wolfgang Tomazic, DDS is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Registered with an NPI since 2026.

In the registry since
2026
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.

See every abbreviation used in this directory →

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
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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 number1114868825
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 5, 2026
Mailing address111 E 210th St, Bronx, NY 10467-2401

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