Provider Demographics
NPI:1295229011
Name:SIMPTKINS, SARAH E (RDH)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:SIMPTKINS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 PRAIRIE DRIVE
Mailing Address - Street 2:
Mailing Address - City:EAST PRAIRIE
Mailing Address - State:MO
Mailing Address - Zip Code:63845-4403
Mailing Address - Country:US
Mailing Address - Phone:573-649-9311
Mailing Address - Fax:
Practice Address - Street 1:111 PRAIRIE DRIVE
Practice Address - Street 2:
Practice Address - City:EAST PRAIRIE
Practice Address - State:MO
Practice Address - Zip Code:63845
Practice Address - Country:US
Practice Address - Phone:573-649-9311
Practice Address - Fax:573-649-9331
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015018514124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist