Individual
CALEB LANCE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 COURT STREET, HUNTSVILLE, TN 37756
(423) 663-8200
Mailing address
P.O. BOX 210, 350 COURT ST., HUNTSVILLE, TN 37756
(423) 663-8200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9505
TN
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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