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NPI Code Detail

MEDICARE: DR. MICHELE SIMPSON DDS

MEDICARE:  DR. MICHELE  SIMPSON  DDS
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
1122300000XDentist8032NC

General Provider Information

NPI Number : 1871661710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELE SIMPSON DDS
Provider Business Mailing Address
First Line : 5204 MASONBORO HARBOUR DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28409-4156
Country : US
Telephone Number : 910-791-7911
Fax Number : 910-791-7911
Provider Business Practice Location Address
First Line : 3317 MASONBORO LOOP RD UNIT 140
Second Line :
City : WILMINGTON
State : NC
Zip : 28409-2970
Country : US
Telephone Number : 910-791-7911
Fax Number : 910-791-7911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 03/08/2016

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Directions to “ DR. MICHELE SIMPSON DDS” Practice Location

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