# KALEB C THOMPSON, DMD, PA IIII

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

## Provider details

- **NPI number:** 1730864547
- **Authorized official:** MONIQUE EMILY HASLAM (BUSINESS DIRECTOR)
- **Authorized official phone:** (252) 335-4341

## Contact information

- **Practice address:** 103 TANGLEWOOD PKWY N STE K, ELIZABETH CITY, NC 27909-9631
- **Practice address phone:** (252) 335-4341
- **Mailing address:** 408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
- **Mailing address phone:** (252) 335-4341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 06/19/2023