Organization
SIMPSON DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GILLESPIE (OWNER/ DOCTOR)
(601) 372-8363
Entity
Organization
Contact information
Practice address
1827 SIMPSON HIGHWAY 149, STE C, MENDENHALL, MS 39114-3439
(601) 847-2100
(601) 847-3111
Mailing address
1827 SIMPSON HIGHWAY 149, STE C, MENDENHALL, MS 39114-3439
(601) 847-2100
(601) 847-3111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660119
—
MS
05
—
03338818
—
MS
Enumeration date
04/18/2013
Last updated
04/18/2013
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