Healthcare Provider Details

I. General information

NPI: 1407444599
Provider Name (Legal Business Name): ALISON ABELL SIMPSON DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 LINCOLN PARK RD
SPRINGFIELD KY
40069-1303
US

IV. Provider business mailing address

207 LINCOLN PARK RD
SPRINGFIELD KY
40069-1303
US

V. Phone/Fax

Practice location:
  • Phone: 859-336-3330
  • Fax: 859-336-3331
Mailing address:
  • Phone: 859-336-3330
  • Fax: 859-336-3331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ALISON ABELL SIMPSON
Title or Position: TIN OWNER
Credential: DMD
Phone: 859-336-3330