Provider Demographics
NPI:1477627305
Name:SIMPSON, JAYMI DAWN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAYMI
Middle Name:DAWN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 S DOUGLAS BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-5267
Mailing Address - Country:US
Mailing Address - Phone:405-732-1181
Mailing Address - Fax:405-455-3181
Practice Address - Street 1:1405 S DOUGLAS BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-5267
Practice Address - Country:US
Practice Address - Phone:405-732-1181
Practice Address - Fax:405-455-3181
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK53321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice