Individual
DR. CHARLES LADELL THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4146 SUMMER AVE, MEMPHIS, TN 38122-5228
(901) 458-0010
Mailing address
4146 SUMMER AVE, MEMPHIS, TN 38122-5228
(901) 458-0010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 2668
TN
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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