Individual
MICHAEL DAVID THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FAGD
Contact information
Practice address
3551 AMAZONAS DR, JEFFERSON CITY, MO 65109-5717
(573) 634-2400
(573) 761-7528
Mailing address
3551 AMAZONAS DR, JEFFERSON CITY, MO 65109-5717
(573) 634-2400
(573) 761-7528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011494
MO
Other
Enumeration date
11/17/2005
Last updated
05/20/2015
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