Provider Demographics
NPI:1295933414
Name:SIMPSON, JONATHAN HAMM (DDS)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:HAMM
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:321 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-4032
Mailing Address - Country:US
Mailing Address - Phone:308-534-1332
Mailing Address - Fax:308-534-1446
Practice Address - Street 1:321 E 3RD ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-4032
Practice Address - Country:US
Practice Address - Phone:308-534-1332
Practice Address - Fax:308-534-1446
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE66461223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry