Individual
SYDNEY J SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
570 LANIER AVE W, FAYETTEVILLE, GA 30214-7649
(678) 836-2128
Mailing address
245 KELSEY LYNN LN, HUNTSVILLE, AL 35806-2293
(773) 383-8126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029241
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019029241
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12013292A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-0007010
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN015471
GA
Other
Enumeration date
10/11/2012
Last updated
06/25/2024
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