Individual
DR. JACK F THOMPSON III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 N MAIN ST, BOX 445, GORDONSVILLE, VA 22942-9121
(540) 832-3141
Mailing address
PO BOX 1669, GORDONSVILLE, VA 22942-1669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA8918
VA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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