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NPI Code Detail

MEDICARE: DR. JAMES CECIL THOMPSON DDSPA

MEDICARE:  DR. JAMES CECIL THOMPSON  DDSPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3232NC

General Provider Information

NPI Number : 1356553077
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES CECIL THOMPSON DDSPA
Provider Business Mailing Address
First Line : 1823CHAPELHILLROAD
Second Line :
City : DURHAM
State : NC
Zip : 27707
Country : US
Telephone Number : 919-489-6256
Fax Number :
Provider Business Practice Location Address
First Line : 1823 CHAPEL HILL RD
Second Line :
City : DURHAM
State : NC
Zip : 27707-1100
Country : US
Telephone Number : 919-489-6256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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