# KALEB C THOMPSON DMD PA VI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Transformations Leland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114782836
- **Authorized official:** KALEB C THOMPSON DMD (OWHNER)
- **Authorized official phone:** (252) 335-4341

## Contact information

- **Practice address:** 1006 NORTHGATE DR, LELAND, NC 28451-6448
- **Practice address phone:** (252) 335-4341
- **Mailing address:** 814 CANAL COVE RD, LAKE WACCAMAW, NC 28450-1816
- **Mailing address phone:** (248) 513-0259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024