Individual
DR. SCOTT RICHARD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6700 N LINDER RD, MERIDIAN, ID 83646-6606
(208) 895-8555
(208) 895-8555
Mailing address
405 N DEVON WAY, STAR, ID 83669-5689
(208) 631-7485
(208) 895-8555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4470
ID
122300000X
Dentist
DD3717
NM
Other
Enumeration date
07/11/2012
Last updated
01/29/2013
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