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Individual

DR. DAMON BENNETT THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
250 SOUTH MAIN STREET, SUITE 212, BLACKSBURG, VA 24060
(540) 552-5433
(540) 552-2273
Mailing address
250 SOUTH MAIN STREET, SUITE 212, BLACKSBURG, VA 24060
(540) 552-5433
(540) 552-2273

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
041008616
VA
122300000X
Dentist
Primary
401008616
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9178608
VA
Enumeration date
10/25/2006
Last updated
08/12/2020
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