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General NPI Number Information
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NPI Number | 1407978752
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Entity Type | Individual
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Provider Name | JOSH L. SIMPSON D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 222 3RD ST
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City | MCCOMB
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State | MS
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Zip | 39648-4102
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Country | US
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Telephone | 601-684-2351
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Fax | 601-684-9187
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | MCCOMB
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State | MS
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Zip | 39649-0990
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Country | US
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Telephone | 601-684-2351
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Fax | 601-684-9187
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3338-05
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License Number State | MS
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