P Praxis·MD
● Active Type 1 · Individual

DR. Yahaziel Simon, D.M.D.

Dentist·Loganville, GA· NPI 1649720079 · Enumerated 2016 · 9 years on NPI
Simon is 1 of 9 dentist providers in Loganville and 1 of 2660 in Georgia.
NPI age
9 years
Enumerated 2016-10-10
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
9 years
↓ 5 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Practice location
4763 Atlanta Hwy Ste 380
Loganville, GA 300526793
📞 7709629560
Mailing address
Po Box 952
Forest Park, GA 302980952

Specialties

  • Dentist Primary
    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...
    GA license #DN015206 taxonomy 122300000X
  • Dentist
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    GA license #DN015206 taxonomy 1223X0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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