DR. SIMON PARK DMD
NPI 1962051292
Dentist in Prescott Valley, AZ

Q: What is Simon Park's NPI number?

The NPI number for Simon Park is 1962051292. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Q: What is Simon Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Simon Park was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 09, 2019

7584 E STATE ROUTE 69, PRESCOTT VALLEY, AZ 86314(928) 499-3061 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, Oct 1, 2020, Sep 9, 2019 (3 updates tracked since 2019).

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About Dr. Simon Park Dmd NPPES

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

DR. SIMON PARK DMD (NPI 1962051292) is an individual dentist in Prescott Valley, Arizona, licensed in Michigan (2901600308) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1962051292

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SIMON PARKCredential: DMD

Location Address7584 E STATE ROUTE 69Prescott Valley, AZ 86314-2278

Mailing AddressG3538 Miller Rd Ste AFlint, MI 48507-1271 · (810) 424-0400

Phone(928) 499-3061

Sole ProprietorYes

Enumeration DateSeptember 9, 2019

Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1962051292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901600308

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7584 E STATE ROUTE 69, Prescott Valley, AZ 86314

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. AMBER DOWNING DMD

Dentist (General Practice)

7584 E STATE ROUTE 69
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 499-3061

SPARK DENTISTRY PLLC

Dentist (General Practice)

7584 E STATE ROUTE 69
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 499-3061

KRISHNA H DESAI

Dentist (General Practice)

7584 E STATE ROUTE 69
PRESCOTT VALLEY, AZ 86314

Yavapai County (510) 736-9890

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 Park's NPI number?

The NPI number for Simon Park is 1962051292. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Simon Park located?

Simon Park practices at 7584 E State Route 69, Prescott Valley, AZ 86314. The listed phone number is (928) 499-3061.

What is Simon Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Simon Park accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Alabama and 15 other insurers list Simon Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simon Park was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.