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Provider Information for 1568424786

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JARED SCOTT SIMPSON DDS

Gender: MALE

Individual NPI: 1568424786

Calendar   Last Updated:  2007-07-09
  Certification Date: 

Details

Name Value
NPI 1568424786
Enumeration Date 2006-04-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 12301 CROWN CREST DR
BAKERSFIELD, CA 93311-8503
United States

Phone: 661-654-0243 | Fax: 661-632-2147
View Map External Link
Primary Practice Address 234 BAKER ST STE 6
BAKERSFIELD, CA 93305-5856
United States

Phone: 661-632-2144 | Fax: 661-632-2147
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID AZ 994617
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 54553
No 122300000X - Dentist AZ D6587