Individual
ANDREW THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.S
Contact information
Practice address
930 W MAIN ST, BRIDGEPORT, WV 26330-1673
(304) 842-5898
Mailing address
930 W MAIN ST, BRIDGEPORT, WV 26330-1673
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3963
WV
Other
Enumeration date
03/29/2012
Last updated
01/06/2017
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