Provider Demographics
NPI:1407444599
Name:ALISON ABELL SIMPSON DMD PLLC
Entity Type:Organization
Organization Name:ALISON ABELL SIMPSON DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TIN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:ABELL
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-336-3330
Mailing Address - Street 1:207 LINCOLN PARK RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-1303
Mailing Address - Country:US
Mailing Address - Phone:859-336-3330
Mailing Address - Fax:859-336-3331
Practice Address - Street 1:207 LINCOLN PARK RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:KY
Practice Address - Zip Code:40069-1303
Practice Address - Country:US
Practice Address - Phone:859-336-3330
Practice Address - Fax:859-336-3331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty