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Organization
R SCOTT THOMPSON, DDS, PA
Active
Organization
R SCOTT THOMPSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R SCOTT THOMPSON D.D.S. (PRESIDENT)
(941) 488-7910
Entity
Organization
Contact information
Practice address
1314 E VENICE AVE STE F, VENICE, FL 34285-7160
(941) 488-7910
(941) 480-0839
Mailing address
1314 E VENICE AVE STE F, VENICE, FL 34285-7160
(941) 488-7910
(941) 480-0839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511613837863
MEDICARE CCN
FL
Enumeration date
01/06/2017
Last updated
01/06/2017
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