Individual
DR. GARY M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
131 N MAIN ST, STANTON, KY 40380-2174
(606) 663-2133
(606) 663-0699
Mailing address
889 BOONE CREEK RD, STANTON, KY 40380-9435
(606) 663-2133
(606) 663-0699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4730
DELTA DENTAL OF KENTUCKY
KY
05
—
60044732
—
KY
01
—
Y945
BLUE CROSS-BLUE SHIELD
KY
Enumeration date
11/07/2005
Last updated
04/03/2013
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