Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKLIS C SIMPSON, DMD
ActiveNICKLIS C SIMPSON, DMD is a General Dentistry healthcare provider located in GLENEDEN BEACH, Oregon. NPI 1043218373 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GLENEDEN BEACH, OR
Registration Details
- NPI Number
- 1043218373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2005 (21.095628631675 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4556 (OR)
Practice Information
- Address
-
6645 GLENEDEN BEACH LOOPGLENEDEN BEACH, OR, 973889700Browse OR providers · Browse ZIP 97388
- Phone
- 5417643850
- Fax
- 5417643852
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.