John Thompson

NPI #1417219734 in Webster Groves, Missouri

Provider Information

NPI Number: 1417219734
Entity Type: Individual
Name: John Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 12, 2012
Last Updated: Dec 31, 2015

Practice Location

Address: 189 BAKER AVE
City: Webster Groves
State: Missouri
ZIP Code: 63119-3732
Phone: (314) 961-1160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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