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Individual

DR. TROY GORDON SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1180 PARKWAY DRIVE, 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
1223G0001X
General Practice Dentistry
Primary
D3268
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
162787
UNITED CONCORDIA INS
01
43890
BLUE CROSS
01
663733
BLUE CROSS
Enumeration date
12/12/2006
Last updated
07/08/2007
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