Organization
THOMPSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEPHEN THOMPSON DDS (PRESIDENT)
(910) 875-3622
Entity
Organization
Contact information
Practice address
114 CAMPUS AVE, RAEFORD, NC 28376-2606
(910) 875-3622
(910) 875-0164
Mailing address
114 CAMPUS AVE, RAEFORD, NC 28376-2606
(910) 875-3622
(910) 875-0164
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5462
NC
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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