Individual
SCOTT DOUGLAS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1461 BROAD ST, STORY CITY, IA 50248-1564
(515) 733-4441
(515) 733-2407
Mailing address
1461 BROAD ST, P.O. BOX 126, STORY CITY, IA 50248-1564
(515) 733-4441
(515) 733-2407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08151
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270470
—
IA
Enumeration date
12/20/2006
Last updated
07/08/2007
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