Organization
THOMPSON FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LUKE THOMPSON DMD (OWNER)
(706) 676-2959
Entity
Organization
Contact information
Practice address
176 CENTRAL AVE, TRION, GA 30753-1125
(706) 676-2959
Mailing address
176 CENTRAL AVE, TRION, GA 30753-1125
(706) 676-2959
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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