Individual
DR. CHARLES GORDON SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1180 PARKWAY DR, BLACKFOOT, ID 83221-0869
(208) 785-0310
(208) 785-0319
Mailing address
1180 PARKWAY DR, PO BOX 869, BLACKFOOT, ID 83221-0869
(208) 785-0310
(208) 785-0319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1394
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162787
UNITA CONCORDIA INS
—
Enumeration date
02/16/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us