Individual
QUINCY LAWRENCE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
113 KENNEDY DR, MARTIN, TN 38237-3344
(731) 587-4742
Mailing address
9 CHATWICK CV, JACKSON, TN 38305-5642
(253) 861-1173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10347
TN
Other
Enumeration date
09/16/2016
Last updated
02/11/2021
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