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NPI 1043162373

NPI 1043162373 : ANDREW SIMPSON, DDS, LLC : SHREVEPORT, LA

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General NPI Number Information
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    NPI Number           |    1043162373
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDREW SIMPSON, DDS, LLC 
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Dates
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    Enumeration Date     |    02/10/2026
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    9220 ELLERBE RD STE 100 
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71106-6739
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    Country              |    US
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    Telephone            |    318-868-0830
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    Fax                  |    318-868-7260
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Provider Business Mailing Address
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    Address Line         |    9220 ELLERBE RD STE 100 
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71106-6739
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    Country              |    US
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    Telephone            |    318-868-0830
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    Fax                  |    318-868-7260
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    DR. RICHARD ANDREW SIMPSON 
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    Credential           |    DDS
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    Telephone            |    318-868-0830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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