# DR. SIMON BANGIYEV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366671281
- **Gender:** Man
- **Credential:** DDS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 056650 | NY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11114 | CT | Yes |

## Other

- **Enumeration date:** 07/13/2009
- **Last updated:** 04/18/2018