Individual
DR. JOSHUA M SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 516-7107
(715) 934-5554
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 634-2541
(715) 934-5554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041221
PA
1223G0001X
General Practice Dentistry
Primary
1002483
WI
1223G0001X
General Practice Dentistry
DS041221
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033445630001
—
PA
05
—
10334563
—
PA
Enumeration date
05/22/2017
Last updated
03/10/2021
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