# J.MICHAEL HATCHETT, DDS, PC MARK ALLAN THOMPSON, DDS, PC

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

## Provider details

- **NPI number:** 1679855852
- **Authorized official:** DR. MARK ALLAN THOMPSON (OWNER)
- **Authorized official phone:** (903) 586-6829

## Contact information

- **Practice address:** 408 WYNN DR, JACKSONVILLE, TX 75766-4976
- **Practice address phone:** (903) 586-6829
- **Practice address fax:** (903) 589-6801
- **Mailing address:** 408 WYNN DR, JACKSONVILLE, TX 75766-4976
- **Mailing address phone:** (903) 586-6829
- **Mailing address fax:** (903) 589-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12843 | TX | Yes |
| 122300000X | Dentist | 12913 | TX | — |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 09/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008274501 | — | TX |
| 05 | — | 008650601 | — | TX |
| 01 | — | 1457458960 | INDIVIDUAL NPI | TX |
| 01 | — | 1881776912 | INDIVIDUAL NPI | TX |