Individual
MICHAEL BENHAM THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1376 CLEVELAND ST, GREENVILLE, SC 29607-2435
(864) 250-1100
Mailing address
205 CAROLINA AVE, GREENVILLE, SC 29607-3213
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9508
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2018
Last updated
11/07/2024
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