Provider Demographics
NPI:1619031887
Name:SIMPSON, ANGELA LOUISE (DDS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:LOUISE
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 1:381 MALLORY STATION RD
Mailing Address - Street 2:STE 209
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2833
Mailing Address - Country:US
Mailing Address - Phone:615-778-0944
Mailing Address - Fax:615-778-0853
Practice Address - Street 1:381 MALLORY STATION RD
Practice Address - Street 2:STE 209
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2833
Practice Address - Country:US
Practice Address - Phone:615-778-0944
Practice Address - Fax:615-778-0853
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7444122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist