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General NPI Number Information
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NPI Number | 1710628235
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Entity Type | Organization
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Legal Business Name | THOMPSON DENTAL
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 1550 S CUSTER RD STE 100
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City | MCKINNEY
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State | TX
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Zip | 75072-6435
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Country | US
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Telephone | 972-346-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 S CUSTER RD STE 100
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City | MCKINNEY
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State | TX
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Zip | 75072-6435
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Country | US
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Telephone | 972-346-9229
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Fax |
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | RYAN THOMPSON
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Credential | DDS
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Telephone | 972-346-2992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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