# BALES & SIMPSON,D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013131036
- **Authorized official:** DR. WHITNEY K BALES D.D.S. (PRESIDENT)
- **Authorized official phone:** (919) 934-3409

## Contact information

- **Practice address:** 101 E MARKET ST, SUITE 2A, SMITHFIELD, NC 27577-3915
- **Practice address phone:** (919) 934-3409
- **Practice address fax:** (919) 934-2128
- **Mailing address:** PO BOX 635, SMITHFIELD, NC 27577-0635
- **Mailing address phone:** (919) 934-3409
- **Mailing address fax:** (919) 934-2128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6000 | NC | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8990379 | MEDICAID | NC |
| 01 | — | 90379 | BCBSNC | NC |
