Michael David Thompson, DDS, FAGD
NPI #1417939174 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1417939174
- Entity Type
- Individual
- Name
- Michael David Thompson, DDS, FAGD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS, FAGD
- Enumeration Date
- Nov 17, 2005
- Last Updated
- May 20, 2015
Practice Location
- Address
- 3551 AMAZONAS DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-5717
- Phone
- (573) 634-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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