Individual provider · Type 1 NPI

Jacob C. Simon, DDS

General Practice Dentistry · Farmington, CT

NPI number 1396346912 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-3408

Mailing address

1708 Franklin St
Oakland, CA 94612-3408

Other practice locations

  • 1708 Franklin St, Oakland, CA 94612-3408 · (860) 235-2795

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X13034 (CT)
Endodontics 1223E0200X13034 (CT)
General Practice Dentistry 1223G0001X105764 (CA)

General Practice Dentistry: 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.

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About NPI 1396346912

Jacob C. Simon, DDS's National Provider Identifier is 1396346912, issued on Nov 2, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Farmington, CT. The record was last updated on Oct 1, 2025.