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SIMON GROCK DDS APC
NPI 1184034894
Dentist - General Practice in Marina Del Rey, CA

Active since May 02, 2014
4553 GLENCOE AVE # 310, MARINA DEL REY, CA 90292(310) 384-3404 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Simon Grock Dds Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMON GROCK DDS APC (NPI 1184034894) is a healthcare organization registered as a general practice in Marina Del Rey, California and active in the NPI registry since May 2014. The organization lists Simon Grock, Corp.president, as its authorized official.

NPPES Registry Identity

NPI1184034894
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSIMON GROCK DDS APC
Location Address4553 GLENCOE AVE # 310Marina Del Rey, CA 90292-7906
Mailing Address4553 Glencoe Ave # 310Marina Del Rey, CA 90292-7906 · (310) 384-3404
Phone(310) 384-3404
Organization SubpartNo
Authorized OfficialSimon GrockCorp.president · (310) 384-3404
Enumeration DateMay 2, 2014
Last NPPES UpdateMarch 1, 2016
✔ NPI 1184034894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4553 GLENCOE AVE # 310, Marina Del Rey, CA 90292
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SIMON GROCK DDS
Dentist
4553 GLENCOE AVE # 310
MARINA DEL REY, CA 90292
Los Angeles County (310) 384-3404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Grock Dds Apc's NPI number?

The NPI number for Simon Grock Dds Apc is 1184034894. It was assigned to this organization in the NPPES registry on May 2, 2014.

Where is Simon Grock Dds Apc located?

Simon Grock Dds Apc is located at 4553 Glencoe Ave # 310, Marina Del Rey, CA 90292. The listed phone number is (310) 384-3404.

What is Simon Grock Dds Apc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Simon Grock Dds Apc was last updated on March 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.