Individual
NATHAN F. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 W MCCLAIN AVE, SCOTTSBURG, IN 47170-1847
(812) 752-4428
(812) 752-7887
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012218
IN
1223G0001X
General Practice Dentistry
7412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100331880
—
KY
Enumeration date
04/04/2007
Last updated
11/08/2020
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