DR. SIMON PARK (NPI# 1962051292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962051292 |
| Entity Type | Individual |
| Full Name | DR. SIMON PARK |
| Credential | DMD |
| Practice Address |
172 W Wattles Rd Troy MI 48098-4685 |
| Mailing Address |
G3538 Miller Rd Ste A Flint MI 48507-1271 |
| Practice Telephone | 2488356840 |
| Mailing Telephone | 8104240400 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901600308 | MI | Dental Providers |
| Street Address |
172 W WATTLES RD |
| City | TROY |
| State | MI |
| Zip Code | 48098-4685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| Find all providers in zip 48098 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954550 | Lane and Associates Xxxvii Dds Pa | Dentist | 473 Woods Street, Troy, NC 27371 | 2020-02-14 |
| 1255985289 | Zackery Ethan Eades | Dentist | 98 Oak Park Dr, Troy, AL 36079-3085 | 2019-07-29 |
| 1386298461 | Michelle Mari Szewczyk | Dentist | 755 W Big Beaver Rd Ste 250, Troy, MI 48084-4903 | 2019-07-28 |
| 1801449079 | Daniel Brystowski | Dentist | 650 E Big Beaver Rd Ste D, Troy, MI 48083-1432 | 2019-07-17 |
| 1275093247 | Kevin P Hagood | Dentist | 2480 Crooks Rd Apt 3, Troy, MI 48084-5530 | 2019-03-25 |
| 1942784418 | Dr. Mark B. Beard Dds, Inc | Dentist | 102 E Walnut St, Troy, KS 66087-5006 | 2018-09-20 |
| 1285120071 | Stephen Charles Degenhardt | Dentist | 2877 Crooks Rd Ste A, Troy, MI 48084-4717 | 2018-07-05 |
| 1093238966 | Yousif Gagi | Dentist | 525 E Big Beaver Rd Ste 110, Troy, MI 48083-1365 | 2017-07-21 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1396272324 | Adeeb Haque | Dentist | 4913 Seasons, Troy, MI 48098-6625 | 2017-05-22 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.