| Simpson Dental Group Pllc | |
|
1827 Simpson Highway 149 Ste C Mendenhall MS 39114-3439 | |
| (601) 847-2100 | |
| (601) 847-3111 |
| Full Name | Simpson Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1827 Simpson Highway 149, Mendenhall, Mississippi |
| Authorized Official Name and Position | John Gillespie (OWNER/ DOCTOR) |
| Authorized Official Contact | 6013728363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simpson Dental Group Pllc 1827 Simpson Highway 149 Ste C Mendenhall MS 39114-3439 Ph: (601) 847-2100 | Simpson Dental Group Pllc 1827 Simpson Highway 149 Ste C Mendenhall MS 39114-3439 Ph: (601) 847-2100 |
| NPI Number | 1164866398 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 04/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164866398 | NPI | - | NPPES |
| 03338818 | Medicaid | MS | |
| 00660119 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Kimberly Blair Smith Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Main St N, Mendenhall, MS 39114 Phone: 601-847-1223 Fax: 601-847-9131 |