Organization
J.MICHAEL HATCHETT, DDS, PC MARK ALLAN THOMPSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLAN THOMPSON (OWNER)
(903) 586-6829
Entity
Organization
Contact information
Practice address
408 WYNN DR, JACKSONVILLE, TX 75766-4976
(903) 586-6829
(903) 589-6801
Mailing address
408 WYNN DR, JACKSONVILLE, TX 75766-4976
(903) 586-6829
(903) 589-6801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12843
TX
122300000X
Dentist
12913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008274501
—
TX
05
—
008650601
—
TX
01
—
1457458960
INDIVIDUAL NPI
TX
01
—
1881776912
INDIVIDUAL NPI
TX
Enumeration date
09/14/2011
Last updated
09/14/2011
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