Organization
STEVEN L. THOMPSON, DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L. THOMPSON DDS (PRESIDENT)
(785) 242-5753
Entity
Organization
Contact information
Practice address
1334 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-5753
(785) 242-8359
Mailing address
1334 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-5753
(785) 242-8359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5284
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08137010
BLUE CROSS BLUE SHIELD
MO
01
—
116806
BLUE CROSS BLUE SHIELD
KS
Enumeration date
03/24/2006
Last updated
08/22/2020
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