Individual
DR. SAMUEL LUKE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1213 N MAIN ST, LA FAYETTE, GA 30728-2136
(706) 638-1114
Mailing address
1213 N MAIN ST, LA FAYETTE, GA 30728-2136
(706) 638-1114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN016065
GA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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