Individual
JOHN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
189 BAKER AVE, WEBSTER GROVES, MO 63119-3732
(314) 961-1160
Mailing address
1518 DIXIE HWY, PARK HILLS, KY 41011-2852
(859) 431-3254
(859) 431-3255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9429
KY
Other
Enumeration date
06/12/2012
Last updated
12/31/2015
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