Provider Demographics
NPI:1780854695
Name:SIMPSON, YONETTE
Entity Type:Individual
Prefix:
First Name:YONETTE
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 PICCARD DRIVE
Mailing Address - Street 2:HEALTH CENTER FIRST FLOOR
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:240-777-1875
Mailing Address - Fax:
Practice Address - Street 1:1335 PICCARD DRIVE
Practice Address - Street 2:MONTGOMERY COUNTY PUBLIC HEALTH DENTAL PROGRAMS
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:240-777-1875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2015-07-24
Deactivation Date:2010-08-09
Deactivation Code:
Reactivation Date:2015-07-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No183700000XPharmacy Service ProvidersPharmacy Technician