Individual
DR. THOMAS M SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3093 BROADWAY ST, BOULDER, CO 80304-3151
(303) 442-4437
(303) 545-5324
Mailing address
3093 BROADWAY ST, BOULDER, CO 80304-3151
(303) 442-4437
(303) 545-5324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105204
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052041
—
CO
01
—
139603
UNITED CONCORDIA PROVIDER
CO
Enumeration date
08/31/2006
Last updated
06/05/2008
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