Provider Demographics
NPI:1760712376
Name:SIMPSON, RICHARD WRIGHT V (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WRIGHT
Last Name:SIMPSON
Suffix:V
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 BELLHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7468
Mailing Address - Country:US
Mailing Address - Phone:912-486-0009
Mailing Address - Fax:
Practice Address - Street 1:1810 KNOX AVE STE A
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-2903
Practice Address - Country:US
Practice Address - Phone:803-279-0015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC71091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice