Organization
EAST TEXAS CHILDREN'S DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH C. THOMPSON D.D.S. (DENTIST)
(903) 577-9900
Entity
Organization
Contact information
Practice address
203 W 20TH ST, SUITE B, MT PLEASANT, TX 75455-1101
(903) 577-9900
(903) 577-9901
Mailing address
203 W 20TH ST, SUITE B, MT PLEASANT, TX 75455-1101
(903) 577-9900
(903) 577-9901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
TX10422
TX
1223P0221X
Pediatric Dentistry
Primary
TX 20214
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387039
UNITED CONCORDIA
TX
01
—
87D558
BCBS OF TEXAS
TX
Enumeration date
04/16/2008
Last updated
04/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us