# JASON THOMPSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548512916
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS039318 | PA | — |
| 1223E0200X | Endodontics | 29626 | TX | Yes |
| 1223E0200X | Endodontics | 30.026782 | OH | — |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 06/03/2022