Individual
JOSEPH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
7614 PERSHING RD, INDIANAPOLIS, IN 46268-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013146A
IN
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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