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NPI 1194869990

IndividualActive

Charles Simpson, DDS

NPI 1194869990 · Dentist · Blackfoot, ID

Provider details

NPI number: 1194869990
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: D1394 (ID)

Practice location

1180 Parkway Dr

Blackfoot, ID 83221-0869

Phone: (208) 785-0310

Fax: (208) 785-0319

More ID providers

Mailing address

1180 Parkway Dr

Blackfoot, ID 83221-0869

Registry dates

Enumerated: 2007-02-16
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Charles Simpson, DDS — NPI 1194869990, Blackfoot, ID | NPI Central