DR. Charles Gordon Simpson, DDS

NPI #1194869990 in Blackfoot, Idaho

Provider Information

NPI Number: 1194869990
Entity Type: Individual
Name: DR. Charles Gordon Simpson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1180 PARKWAY DR
City: Blackfoot
State: Idaho
ZIP Code: 83221-0869
Phone: (208) 785-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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