Individual
DR. MARK STEPHEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 CAMPUS AVE., RAEFORD, NC 28376-2606
(910) 875-3622
(910) 875-3622
Mailing address
114 CAMPUS AVE, RAEFORD, NC 28376-2606
(910) 875-3622
(910) 875-3622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998450
—
NC
Enumeration date
02/09/2007
Last updated
07/09/2007
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