# THOMPSON FAMILY DRE LLC

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

## Provider details

- **NPI number:** 1942907167
- **Authorized official:** GREG WHITE DDS (CEO)
- **Authorized official phone:** (859) 533-1109

## Contact information

- **Practice address:** 203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
- **Practice address phone:** (502) 868-5999
- **Mailing address:** 203 CHAMPION WAY STE 6, GEORGETOWN, KY 40324-8861
- **Mailing address phone:** (502) 868-5999

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 02/08/2023