Individual
DR. SHELBY E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2816 VEACH RD STE 301A, OWENSBORO, KY 42303-6297
(270) 684-5395
Mailing address
4426 HILLCREST OAKS, OWENSBORO, KY 42303-1966
(270) 685-5787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4775
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60047750
—
KY
01
—
840912
UNITED CONCORDIA UNPROVID
KY
Enumeration date
10/19/2006
Last updated
07/09/2007
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