Individual
DR. BART DAVID THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2707 LOUANNA ST, MIDLAND, MI 48640-4455
(989) 835-5261
(989) 832-2114
Mailing address
2707 LOUANNA ST, MIDLAND, MI 48640-4455
(989) 835-5261
(989) 832-2114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17559410051
—
MI
Enumeration date
05/12/2006
Last updated
07/08/2007
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