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NPI Code Detail

MEDICARE: DR. STUART PATRICK THOMPSON D.D.S.

MEDICARE:  DR. STUART PATRICK THOMPSON  D.D.S.
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 DentistryDT-2281HI

General Provider Information

NPI Number : 1992784482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART PATRICK THOMPSON D.D.S.
Provider Business Mailing Address
First Line : 525 FARRINGTON HWY
Second Line : STE 104
City : KAPOLEI
State : HI
Zip : 96707-2051
Country : US
Telephone Number : 808-674-8808
Fax Number : 808-674-8870
Provider Business Practice Location Address
First Line : 755 SCOTT CIR
Second Line :
City : HICKAM AFB
State : HI
Zip : 96853-5399
Country : US
Telephone Number : 808-448-6726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 04/05/2016

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Directions to “ DR. STUART PATRICK THOMPSON D.D.S.” Practice Location

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