Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518659655 Individual Practitioner Male Practitioner

Jackson G Simon

Dentist - General Practice • Sierra Vista, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jackson Simon is a registered healthcare professional specializing in Dentist - General Practice in Sierra Vista, AZ. Official NPI practice address is registered at 66 N GARDEN AVE.

Practice Location & Contact Primary Location

Practice Address

66 N Garden Ave

Sierra Vista, AZ 856353803

Telephone 5204581989
Associated Practice Facility / Clinic
🏢 Ramsey Edwards Experience Pc Facility NPI 1780249417

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sierra Vista, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Sierra Vista, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D012128

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Alan Gray , DDS

Dentist - General Practice

NPI 1174628911

Doctor of Dental Surgery

NPI 1437533650

Doctor of Dental Medicine

Dr. Jarom Hansen , DMD

Dentist - General Practice

NPI 1831447507

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 20, 2024

Registered at 66 N GARDEN AVE, SIERRA VISTA, AZ 856353803 (Tel: 5204581989)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2024

Dentist (License #D012128 in AZ)

NPI Profile Active May 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2023

Registered at 1001 SHADOW LN # 7423, LAS VEGAS, NV 891064124 (Tel: 7027742400)

📍
Updated Business Mailing Address May 25, 2023

Registered at 1001 SHADOW LN # 7423, LAS VEGAS, NV 891064124 (Tel: 7027742400)

👤
Provider Name / Credentials Updated May 25, 2023

Recorded as JACKSON SIMON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 25, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518659655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2023
Last Update: June 20, 2024
Sole Proprietor: Yes

Mailing Address

1001 Shadow Ln # 7423

Las Vegas, NV 891064124

Phone: 7027742400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.