Provider Demographics
NPI:1780854695
Name:SIMPSON, YONETTE S (RDH)
Entity type:Individual
Prefix:MS
First Name:YONETTE
Middle Name:S
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY FO MARYLAND SCHOOL OF DENTISTRY-DENTAL HYGIE
Mailing Address - Street 2:650 WEST BALTIMORE STREET, SUITE 1210
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-706-4469
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY FO MARYLAND SCHOOL OF DENTISTRY
Practice Address - Street 2:650 WEST BALTIMORE STREET
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-706-4469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2024-06-14
Deactivation Date:2010-08-09
Deactivation Code:
Reactivation Date:2015-07-24
Provider Licenses
StateLicense IDTaxonomies
124Q00000X
MD6166124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist