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Individual
DR. STEVAN HAYDEN THOMPSON
Active
Individual
DR. STEVAN HAYDEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4871
NC
122300000X
Dentist
DN009114
GA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4871
NC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DN009114
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4871
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN009114
GA
Other
Enumeration date
01/24/2006
Last updated
09/07/2012
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