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Organization
HATCHETT AND THOMPSON DDS
Active
Organization
HATCHETT AND THOMPSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN THOMPSON (OWNER)
(903) 586-6829
Entity
Organization
Contact information
Practice address
408 WYNN DR, JACKSONVILLE, TX 75766-4976
(903) 586-6829
Mailing address
408 WYNN DR, JACKSONVILLE, TX 75766-4976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008294501
—
TX
05
—
008650601
—
TX
Enumeration date
09/16/2015
Last updated
09/16/2015
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