Charles Gordon Simpson in Blackfoot - Dentist
Charles Gordon Simpson - NPI 1194869990
Charles Gordon Simpson is a Dentist in Blackfoot, Idaho. Charles Gordon Simpson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Gordon Simpson is 1194869990. The last update date is 2007-07-08.
Charles Gordon Simpson's current location address is 1180 Parkway Dr, Blackfoot, Idaho. You can contact this provider via phone number 2087850310 and fax number 2087850319. The mailing address for Charles Gordon Simpson is 1180 Parkway Dr, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Gordon Simpson |
|---|---|
| Address | 1180 Parkway Dr, Blackfoot, Idaho |
| Phone Number | 2087850310 |
| Fax Number | 2087850319 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194869990 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1180 Parkway Dr |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832210869 |
| Phone Number | 2087850310 |
| Fax Number | 2087850319 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D1394 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 162787 | UNITA CONCORDIA INS |
Post Comment/ Review Below
What is the Charles Gordon Simpson's unique identification number?
The Charles Gordon Simpson has been assigned the NPI (National Provider Identifier) Number 1194869990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Charles Gordon Simpson's facilities are situated?
The facilities of Charles Gordon Simpson are physically located at the following address: 1180 Parkway Dr, Blackfoot, ID, 832210869.
What is the area of specialization for Charles Gordon Simpson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Gordon Simpson is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194869990 to Charles Gordon Simpson?
The Centers for Medicare & Medicaid Services assigned the 1194869990 to Charles Gordon Simpson on 2007-02-16.
As of what date were the details pertaining to Charles Gordon Simpson last refreshed?
The information related to the Charles Gordon Simpson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA