Individual
KEITH ALLAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1945 FIRST AVENUE, OPELIKA, AL 36801
(334) 749-5014
(334) 749-9823
Mailing address
1945 FIRST AVENUE, OPELIKA, AL 36801
(334) 749-5014
(334) 749-9823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 0005367
AL
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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