Individual
DR. JEREMY MARTIN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 NW LOOP 410 STE 455, SAN ANTONIO, TX 78216
(210) 342-2444
(210) 342-2443
Mailing address
13003 VISTA HAVEN, SAN ANTONIO, TX 78216
(614) 893-0256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60417
KS
1223E0200X
Endodontics
Primary
29857
TX
1223E0200X
Endodontics
60417
KS
Other
Enumeration date
08/18/2006
Last updated
07/26/2018
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