Nicklis C Simpson, DMD
NPI #1043218373 in Gleneden Beach, Oregon
Provider Information
- NPI Number
- 1043218373
- Entity Type
- Individual
- Name
- Nicklis C Simpson, DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 11, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6645 GLENEDEN BEACH LOOP
- City
- Gleneden Beach
- State
- Oregon
- ZIP Code
- 97388-9700
- Phone
- (541) 764-3850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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