MEDICARE: MICHAEL DAVID THOMPSON DDS, FAGD

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
1	1223G0001X	General Practice Dentistry	011494	MO

General Provider Information

NPI Number	:	1417939174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL DAVID THOMPSON DDS, FAGD

Provider Business Mailing Address
First Line	:	3551 AMAZONAS DR
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65109-5717
Country	:	US
Telephone Number	:	573-634-2400
Fax Number	:	573-761-7528

Provider Business Practice Location Address
First Line	:	3551 AMAZONAS DR
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65109-5717
Country	:	US
Telephone Number	:	573-634-2400
Fax Number	:	573-761-7528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	05/20/2015

Similar Medicare Providers

1740265495 — MID-MISSOURI ORTHOTICS & PROSTHETICS
Practice Location Address:

3559 AMAZONAS DR
JEFFERSON CITY, MO
65109-5717

Practice Phone: 573-636-9611
Practice Fax: 573-636-9632

1053516658 — DR. JUSTIN LEE JOHNSON DDS
Practice Location Address:

3551 AMAZONAS DR
JEFFERSON CITY, MO
65109-5717

Practice Phone: 573-634-2400
Practice Fax:

1346138526 — JAMES RUSSELL MULLINS
Practice Location Address:

109 JEFFERSON ST
BECKLEY, WV
25801-5717

Practice Phone: 304-860-5498
Practice Fax:

1518310457 — BRANDI WEST L.AC.
Practice Location Address:

7235 CENTRAL ST , #14
KANSAS CITY, MO
64114-5717

Practice Phone: 816-237-8356
Practice Fax:

1285272641 — ELIZABETH GRACE ROBINSON NP
Practice Location Address:

5717 LAKE SIDE DR
BOSSIER CITY, LA
71111-5509

Practice Phone: 318-423-1063
Practice Fax:

1669124707 — DR. RICHARD L BECKER DO
Practice Location Address:

3918 RUGER DR
ROYSE CITY, TX
75189-5717

Practice Phone: 469-723-6735
Practice Fax:

Directions to “ MICHAEL DAVID THOMPSON DDS, FAGD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.