# DR. NATHAN THOMPSON, DMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255739066
- **Authorized official:** DR. NATHAN THOMPSON DMD (OWNER)
- **Authorized official phone:** (812) 752-4428

## Contact information

- **Practice address:** 30 W MCCLAIN AVE, SCOTTSBURG, IN 47170-1847
- **Practice address phone:** (812) 752-4428
- **Practice address fax:** (812) 752-4428
- **Mailing address:** 30 W MCCLAIN AVE, SCOTTSBURG, IN 47170-1847
- **Mailing address phone:** (812) 752-4428
- **Mailing address fax:** (812) 752-4428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 11/08/2020