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Individual

JOHN SCOTT THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
173 WEST ST, ESSEX JCT, VT 05452-4616
(802) 879-7811
(802) 879-7030
Mailing address
173 WEST ST, ESSEX JCT, VT 05452-4616
(802) 879-7811
(802) 879-7030

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160001058
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002183
VT
Enumeration date
10/18/2006
Last updated
07/08/2007
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