Individual
BRIAN C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
645 PARK BLVD, MARION, VA 24354-4223
(276) 783-8131
(276) 783-1839
Mailing address
645 PARK BLVD, MARION, VA 24354-4223
(276) 783-8131
(276) 783-1839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411670
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401411670
VA
Other
Enumeration date
05/30/2007
Last updated
07/19/2010
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