Organization
JEREMY M THOMPSON DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY M THOMPSON DDS (PRESIDENT)
(614) 893-0256
Entity
Organization
Contact information
Practice address
103 PROFESSIONAL PARK DRIV, VICTORIA, TX 77904
(614) 893-0256
(915) 307-5172
Mailing address
13003 VISTA HAVEN, SAN ANTONIO, TX 78216
(614) 893-0256
(915) 307-5172
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
29857
TX
Other
Enumeration date
11/12/2014
Last updated
08/09/2018
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