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Contact Information

NICKLIS C SIMPSON, DMD
2080 NE HWY 99 W
MCMINNVILLE, OR97128
 Phone: 503-472-2445
 Fax: 541-764-3852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NICKLIS C SIMPSON · (Male)

NPI # 1043218373
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/11/2005
Last updated 05/21/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • OR License # 4556
  • OR License # ORD4556
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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