Individual
DR. BENJAMIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 WYATT DR, MAYFIELD, KY 42066-6810
(270) 247-1966
(270) 247-5471
Mailing address
312 WYATT DR, MAYFIELD, KY 42066-6810
(270) 247-1966
(270) 247-5471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9602
KY
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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