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Individual

DR. JAMES PATRICK THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
5909 WHEELOCK RD STE 102, FORT WAYNE, IN 46835-9258
(260) 485-2000
Mailing address
5909 WHEELOCK RD STE 102, FORT WAYNE, IN 46835-9258
(260) 485-2000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12013025A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013025A
IN

Other

Enumeration date
08/25/2020
Last updated
08/25/2020
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