Individual
DR. GEFFREY W THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., PA.
Contact information
Practice address
1322 W KATHLEEN AVE, COEUR D ALENE, ID 83815-7365
(208) 667-7461
(208) 765-5753
Mailing address
1322 W KATHLEEN AVE, COEUR D ALENE, ID 83815-7365
(208) 667-7461
(208) 765-5753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1655
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025332
—
ID
Enumeration date
08/11/2006
Last updated
07/08/2007
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