# KALEB C THOMPSON, DMD, PA II

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

## Provider details

- **NPI number:** 1124757695
- **Authorized official:** MONIQUE HASLAM (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (252) 232-0800

## Contact information

- **Practice address:** 112 CURRITUCK COMMERICAL DR STE B, MOYOCK, NC 27958-8746
- **Practice address phone:** (252) 335-4341
- **Mailing address:** 112 CURRITUCK COMMERICAL DR STE B, MOYOCK, NC 27958-8746
- **Mailing address phone:** (252) 335-4341

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2022
- **Last updated:** 06/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1710437322 | GENERAL DENTIST | NC |