Individual
WILLIAM BRODIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
409 CHILHOWIE ST, CHILHOWIE, VA 24319
(276) 646-3541
(276) 646-4129
Mailing address
PO BOX 318, 409 CHILHOWIE ST, CHILHOWIE, VA 24319
(276) 646-3541
(276) 646-4129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800029
—
VA
Enumeration date
03/22/2006
Last updated
05/02/2013
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