Organization
KOKOMO ORAL AND MAXILLOFACIAL SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A. THOMPSON JR. D.D.S. (PRESIDENT)
(765) 453-5444
Entity
Organization
Contact information
Practice address
2705 S BERKLEY RD, SUITE 4D, KOKOMO, IN 46902-8025
(765) 453-5444
Mailing address
2705 S BERKLEY RD, SUITE 4D, KOKOMO, IN 46902-8025
(765) 453-5444
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
12008623A
IN
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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