Provider Demographics
NPI:1740719285
Name:KIUFTIS & SIMPSON DENTAL PARTNERSHIP
Entity type:Organization
Organization Name:KIUFTIS & SIMPSON DENTAL PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-323-7337
Mailing Address - Street 1:2000 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4216
Mailing Address - Country:US
Mailing Address - Phone:661-323-7337
Mailing Address - Fax:661-323-7334
Practice Address - Street 1:2000 20TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4216
Practice Address - Country:US
Practice Address - Phone:661-323-7334
Practice Address - Fax:661-323-7334
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIUFTIS & SIMPSON DENTAL PARTNERSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-08
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty