Provider Demographics
NPI:1063679991
Name:DRS. SIMPSON & GUEST, PLLC.
Entity Type:Organization
Organization Name:DRS. SIMPSON & GUEST, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:NEWTON
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-342-4717
Mailing Address - Street 1:400 ALLEN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-3947
Mailing Address - Country:US
Mailing Address - Phone:304-342-4717
Mailing Address - Fax:304-342-4737
Practice Address - Street 1:400 ALLEN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-3947
Practice Address - Country:US
Practice Address - Phone:304-342-4717
Practice Address - Fax:304-342-4737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty