# DOUGLAS G. THOMPSON, D.D.S., P.L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Oral Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649827999
- **Authorized official:** JACQUIE ANN GERBLICK (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (248) 642-1000

## Contact information

- **Practice address:** 3684 W MAPLE RD, BLOOMFIELD HILLS, MI 48301-3375
- **Practice address phone:** (248) 642-1000
- **Mailing address:** 3684 W MAPLE RD, BLOOMFIELD HILLS, MI 48301-3375
- **Mailing address phone:** (248) 642-1000

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 03/10/2025