Individual
DR. THOMAS M. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1848 LYDA AVE, BOWLING GREEN, KY 42104-3361
(270) 783-0064
(270) 901-1997
Mailing address
1848 LYDA AVE, BOWLING GREEN, KY 42104-3361
(270) 783-0064
(270) 901-1997
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
5754
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5754
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000841
—
KY
Enumeration date
11/10/2005
Last updated
01/13/2015
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