| Simpson Dental Offices | |
|
1180 Parkway Dr Blackfoot ID 83221-1651 | |
| (208) 785-0310 | |
| (208) 785-0319 |
| Full Name | Simpson Dental Offices |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1180 Parkway Dr, Blackfoot, Idaho |
| Authorized Official Name and Position | Charles Gordon Simpson (V PRESIDENT DENTIST) |
| Authorized Official Contact | 2087850310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simpson Dental Offices Po Box 869 Blackfoot ID 83221-0869 Ph: (208) 785-0310 | Simpson Dental Offices 1180 Parkway Dr Blackfoot ID 83221-1651 Ph: (208) 785-0310 |
| NPI Number | 1952436883 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952436883 | NPI | - | NPPES |
| 43890 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1394 (Idaho) | Primary |
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