# GEFFREY W. THOMPSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coeur d'Alene Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992970503
- **Authorized official:** DR. GEFFREY W. THOMPSON D.M.D. (OWNER)
- **Authorized official phone:** (208) 667-7461

## Contact information

- **Practice address:** 1322 W KATHLEEN AVE, COEUR D ALENE, ID 83815-7365
- **Practice address phone:** (208) 667-7461
- **Practice address fax:** (208) 765-5753
- **Mailing address:** 1322 W KATHLEEN AVE, COEUR D ALENE, ID 83815-7365
- **Mailing address phone:** (208) 667-7461
- **Mailing address fax:** (208) 765-5753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-1655 | ID | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 07/16/2008