Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043218373 Individual Practitioner Male Practitioner

Dr. Nicklis C Simpson , DMD

Dentist - General Practice • Mcminnville, OR

Professional Overview & Biography Verified Profile Summary

Dr. Nicklis Simpson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mcminnville, OR. Practice services are available at 2080 NE HWY 99 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2080 Ne Hwy 99 W

Mcminnville, OR 97128

Telephone 5034722445
Fax 5417643852

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mcminnville, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Mcminnville, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR ORD4556

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR 4556

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Michael Niad , DDS

Dentist - General Practice

NPI 1326258906

Doctor of Dental Surgery

Dr. Todd Hyder , DMD

Dentist - General Practice

NPI 1326259045

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 21, 2026

Registered at 2080 NE HWY 99 W, MCMINNVILLE, OR 97128 (Tel: 5034722445)

📍
Updated Business Mailing Address May 21, 2026

Registered at 301 SW VALLEYS EDGE ST, MCMINNVILLE, OR 971285576 (Tel: 5419610259)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6645 GLENEDEN BEACH LOOP, GLENEDEN BEACH, OR 973889700 (Tel: 5417643850)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 86, 6645 GLENEDEN BEACH LOOP, GLENEDEN BEACH, OR 973880086 (Tel: 5417643850)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NICKLIS SIMPSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4556 in OR)

🟢
Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043218373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2005
Last Update: May 21, 2026
Sole Proprietor: No

Mailing Address

301 Sw Valleys Edge St

Mcminnville, OR 971285576

Phone: 5419610259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.