Provider Demographics
NPI:1407852908
Name:SIMPSON, CHARLES H III (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:SIMPSON
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W WILLIAMS ST
Mailing Address - Street 2:STE 240
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5204
Mailing Address - Country:US
Mailing Address - Phone:919-363-8444
Mailing Address - Fax:919-363-6391
Practice Address - Street 1:800 W WILLIAMS ST
Practice Address - Street 2:STE 240
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5204
Practice Address - Country:US
Practice Address - Phone:919-363-8444
Practice Address - Fax:919-363-6391
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC71771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899014JMedicaid