Randy S. Simpson in Mountain Home - Dentist

Randy S. Simpson - NPI 1114946811

Randy S. Simpson is a Dentist in Mountain Home, Arkansas. Randy S. Simpson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randy S. Simpson is 1114946811. The last update date is 2007-07-08.

Randy S. Simpson's current location address is 137 S College St, Mountain Home, Arkansas. You can contact this provider via phone number 8704244646 and fax number 8704243128. The mailing address for Randy S. Simpson is 137 S College St, Mountain Home, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy S. Simpson
Address 137 S College St, Mountain Home, Arkansas
Phone Number 8704244646
Fax Number 8704243128
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1114946811
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 137 S College St
City Mountain Home
State Arkansas (AR)
Post Code 726533940
Phone Number 8704244646
Fax Number 8704243128

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2912
Definition:
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 degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
58530 BLUE CROSS/BLUE SHIELD

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FAQs about Randy S. Simpson

What is the unique identification code assigned to Randy S. Simpson by the Centers for Medicare & Medicaid Services?

The Randy S. Simpson has been issued the NPI (National Provider Identifier) 1114946811. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Randy S. Simpson located?

The Randy S. Simpson is located at 137 S College St, Mountain Home, AR 726533940.

What is Randy S. Simpson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randy S. Simpson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114946811 to Randy S. Simpson?

The Centers for Medicare & Medicaid Services originally issued the 1114946811 to Randy S. Simpson on 2006-07-19.

As of what date were the details pertaining to Randy S. Simpson last refreshed?

The information related to the Randy S. Simpson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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