Provider Demographics
NPI:1275963407
Name:SIMPSON DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:SIMPSON DENTAL ASSOCIATES
Other - Org Name:BARBARA PERLITCH DDS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLITCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-298-1500
Mailing Address - Street 1:2333 CAMINO DEL RIO S STE 310
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3615
Mailing Address - Country:US
Mailing Address - Phone:619-298-1500
Mailing Address - Fax:
Practice Address - Street 1:2333 CAMINO DEL RIO S STE 310
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3615
Practice Address - Country:US
Practice Address - Phone:619-298-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50088122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty