Marie A. Simon, DDS
Individual provider Active NPI General Practice Dentistry · Avon Lake, OH
NPI 1194704841 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1194704841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30018789 (OH)
- Practice address
- 375 Lear Rd
Suite G
Avon Lake, OH 44012-2094 - Phone
- (440) 933-3270
- Fax
- (440) 933-8781
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30018789 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30018789 | OH | Yes |
Addresses
Primary practice location
375 Lear Rd
Suite G
Avon Lake, OH 44012-2094
Mailing address
375 Lear Rd
Suite G
Avon Lake, OH 44012-2094
Phone (440) 933-3270
Other providers in Avon Lake, OH
- Karan Sandip Shah
- Aarika Sheehan
- Jaclyn Shlapack
- Melanie J Shmois
- Michael Shockey
- Rayeka Sitabkhan
- Bethany Sue Small
- Erin Smith
- Jody Smith
- Thomas G Smith
All providers in Avon Lake, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.