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Individual

DR. KACEY-ANN THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
128 STEVENS AVE, MOUNT VERNON, NY 10550-2634
(914) 668-2772
(914) 668-2657
Mailing address
128 STEVENS AVE, MOUNT VERNON, NY 10550-2634
(914) 668-2772
(914) 668-2657

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6628-15
WI
1223G0001X
General Practice Dentistry
Primary
056542
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538469820
NY
05
390200000X
WI
Enumeration date
11/02/2010
Last updated
12/14/2022
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