Troy Gordon Simpson in Blackfoot - General Practice

Troy Gordon Simpson - NPI 1730240102

Troy Gordon Simpson is a General Practice in Blackfoot, Idaho. Troy Gordon Simpson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Troy Gordon Simpson is 1730240102. The last update date is 2007-07-08.

Troy 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 Troy Gordon Simpson is 1180 Parkway Dr, Blackfoot, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Troy Gordon Simpson
Address 1180 Parkway Dr, Blackfoot, Idaho
Phone Number 2087850310
Fax Number 2087850319
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1730240102
Provider Enumeration Date 2006-12-12
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 General Practice
Taxonomy 1223G0001X
Licence No D3268
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
43890 BLUE CROSS
663733 BLUE CROSS
162787 UNITED CONCORDIA INS

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FAQs about Troy Gordon Simpson

What is the unique identifier code issued to Troy Gordon Simpson by the Centers for Medicare & Medicaid Services (CMS)?

The Troy Gordon Simpson has been assigned the NPI (National Provider Identifier) 1730240102. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Troy Gordon Simpson's physical address?

The Troy Gordon Simpson is physically located at 1180 Parkway Dr, in the city of Blackfoot, ID, with the postal code 832210869.

What is Troy Gordon Simpson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Troy Gordon Simpson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1730240102 to Troy Gordon Simpson?

The Centers for Medicare & Medicaid Services originally issued the 1730240102 to Troy Gordon Simpson on 2006-12-12.

When was the information related to Troy Gordon Simpson most recently updated or refreshed?

The details pertaining to the Troy Gordon Simpson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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