Organization
KALEB C THOMPSON DMD PA III
Active
Other names
Dental Transformations
Organization subpart
No
Provider details
NPI number
Authorized official
KALEB THOMPSON (OWNER)
(252) 335-4341
Entity
Organization
Contact information
Practice address
153 WORTH GUARD RD, COINJOCK, NC 27923-9766
(252) 335-4341
Mailing address
153 WORTH GUARD RD, COINJOCK, NC 27923-9766
(252) 335-4341
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174594543
—
NC
Enumeration date
11/09/2020
Last updated
11/13/2020
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