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MICHAEL SIMON
NPI 1891253068
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 06, 2019
SOUTH DRIVE SCHOOL OF DENTAL MEDICINE, STONY BROOK, NY 11794(631) 632-3161(631) 632-3961 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Simon NPPES

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

MICHAEL SIMON (NPI 1891253068) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1891253068
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL SIMON
Location AddressSOUTH DRIVE SCHOOL OF DENTAL MEDICINEStony Brook, NY 11794-0001
Mailing Address176 Stone Schoolhouse RdBloomingburg, NY 12721-3001 · (845) 733-4400
Phone(631) 632-3161
Fax(631) 632-3961
Sole ProprietorNo
Enumeration DateMarch 6, 2019
✔ NPI 1891253068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
SOUTH DRIVE SCHOOL OF DENTAL MEDICINE, Stony Brook, NY 11794
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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 Michael Simon's NPI number?

The NPI number for Michael Simon is 1891253068. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Michael Simon located?

Michael Simon practices at South Drive School Of Dental Medicine, Stony Brook, NY 11794. The listed phone number is (631) 632-3161.

What is Michael Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Simon was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.