Individual
DR. JESSE CRAIG THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4TH AND INNER LOOP BLDG 171, FORT IRWIN, CA 92310
(760) 380-9201
Mailing address
359 CARROLL RD, ATHENS, OH 45701-3313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9308
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4915094-9921
UT
Other
Enumeration date
06/06/2013
Last updated
04/05/2023
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