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General NPI Number Information
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NPI Number | 1962620922
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Entity Type | Organization
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Legal Business Name | TREY THOMPSON, DDS, PA
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 909 DAIRY ASHFORD ST STE 109
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City | HOUSTON
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State | TX
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Zip | 77079-5306
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Country | US
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Telephone | 281-493-5480
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Fax | 281-493-1473
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Provider Business Mailing Address
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Address Line | 909 DAIRY ASHFORD ST STE 109
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City | HOUSTON
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State | TX
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Zip | 77079-5306
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Country | US
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Telephone | 281-493-5480
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Fax | 281-493-1473
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Authorized Official
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Title or Position | DENTIST, OWNER
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Name | DR. HENRY DURWARD THOMPSON III
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Credential | DDS
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Telephone | 281-493-5480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 20606
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License Number State | TX
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