MEDICARE: AARON SIMPSON, DDS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	4090	AR

General Provider Information

NPI Number	:	1225568157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON SIMPSON, DDS, PLLC

Provider Business Mailing Address
First Line	:	1528 N 39TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72904-6931
Country	:	US
Telephone Number	:	479-783-4469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1528 N 39TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72904-6931
Country	:	US
Telephone Number	:	479-783-4469
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. AARON SIMPSON
Credential	:	DDS
Telephone Number	:	940-783-5973

Provider Enumeration Date	:	06/13/2017
Last Update Date	:	07/21/2022

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