Individual
ROGER L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6496 N PIQUA RD, DECATUR, IN 46733-9434
(260) 724-8746
(260) 724-2175
Mailing address
6496 N PIQUA RD, DECATUR, IN 46733
(260) 724-8746
(260) 724-2175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6751
IN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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