Organization
WILLIAM B THOMPSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRODIE THOMPSON DDS (OWNER DENTIST)
(276) 646-3541
Entity
Organization
Contact information
Practice address
409 CHILHOWIE STREET, CHILHOWIE, VA 24319
(276) 646-3541
(276) 646-4129
Mailing address
PO BOX 318, 409 CHILHOWIE STREET, CHILHOWIE, VA 24319
(276) 646-3541
(276) 646-4129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178548
—
VA
Enumeration date
04/04/2008
Last updated
04/04/2008
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