Individual
TRAVIS A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3439 B MCGEHEE ROAD, SUITE 22, MONTGOMERY, AL 36111
(334) 288-1868
Mailing address
230 E 10TH ST STE 106, ANNISTON, AL 36207-5771
(256) 741-7340
(256) 741-7373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6320.C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2016
Last updated
07/27/2018
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