Male or Other

Dr. Randy S. Simpson D.D.S.

Dentist in Mountain Home, AR(View on Map)

Full Name

Dr. Randy S. Simpson D.D.S.

NPI Number

1114946811

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/19/2006

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

2912

Contact
Information

Purpose

Mailing
Location

Address

137 S COLLEGE ST
137 S COLLEGE ST

City

Mountain Home
Mountain Home

State

AR
AR

Postal Code

72653-3940
72653-3940

Country

US
US

Telephone Number

(870) 424-4646
(870) 424-4646

Identifiers

Identifier

58530

Identifier State

Unknown

Identifier Issuer

BLUE CROSS/BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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