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Deactivated NPI 1679764351 Deactivated / Inactive NPI Male Practitioner

Dr. John R Simon , DDS

Dentist - General Practice • Chatham, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Simon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2007
NPI Deactivation Date September 25, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Simon, DDS was a registered Dentist - General Practice practicing in Chatham, NJ. Throughout an active medical career spanning 18 years, Dr. Simon provided care at the practice location at 308 MAIN ST until profile deactivation on 2025-09-25.

Practice Location & Contact Primary Location

Practice Address

308 Main St

Chatham, NJ 079282413

Telephone 9736358559
Fax 9736355755

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chatham, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Chatham, NJ (4316 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 19802

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

1 Associated Practitioners
Dr. Raymond Simon , DDS

Dentist - General Practice

NPI 1659584159

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 25, 2025

Record deactivated on September 25, 2025

NPI Profile Active August 07, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 07, 2007

Registered at 308 MAIN ST, CHATHAM, NJ 079282413 (Tel: 9736358559)

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Updated Business Mailing Address August 07, 2007

Registered at 308 MAIN ST, CHATHAM, NJ 079282413 (Tel: 9736358559)

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Provider Name / Credentials Updated August 07, 2007

Recorded as JOHN SIMON, D. D. S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2007

Dentist (License #19802 in NJ)

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Initial NPI Registration & Enumeration August 07, 2007

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: 1679764351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2007
Last Update: August 07, 2007
Deactivation Date: September 25, 2025

Mailing Address

308 Main St

Chatham, NJ 079282413

Phone: 9736358559

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.