# JEREMY M THOMPSON DDS MS PLLC

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

## Provider details

- **NPI number:** 1689070062
- **Authorized official:** DR. JEREMY M THOMPSON DDS (PRESIDENT)
- **Authorized official phone:** (614) 893-0256

## Contact information

- **Practice address:** 103 PROFESSIONAL PARK DRIV, VICTORIA, TX 77904
- **Practice address phone:** (614) 893-0256
- **Practice address fax:** (915) 307-5172
- **Mailing address:** 13003 VISTA HAVEN, SAN ANTONIO, TX 78216
- **Mailing address phone:** (614) 893-0256
- **Mailing address fax:** (915) 307-5172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 29857 | TX | Yes |

## Other

- **Enumeration date:** 11/12/2014
- **Last updated:** 08/09/2018