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Organization
JOHN A SIMPSON DDS PC
Active
Organization
JOHN A SIMPSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A SIMPSON DDS PC (PRESIDENT)
(208) 436-4747
Entity
Organization
Contact information
Practice address
502 8TH ST, RUPERT, ID 83350-1417
(208) 436-4747
(208) 436-9683
Mailing address
502 8TH ST, RUPERT, ID 83350-1417
(208) 436-4747
(208) 436-9683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1885
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001261000
—
ID
01
—
9200493
IDAHO SMILES
ID
Enumeration date
06/05/2008
Last updated
06/05/2008
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