Provider Demographics
NPI:1013020700
Name:TOMPKINS, THOMAS KNOPP (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KNOPP
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 20TH STREET
Mailing Address - Street 2:
Mailing Address - City:HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78861
Mailing Address - Country:US
Mailing Address - Phone:830-426-3304
Mailing Address - Fax:830-426-5404
Practice Address - Street 1:501 20TH STREET
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861
Practice Address - Country:US
Practice Address - Phone:830-426-3304
Practice Address - Fax:830-426-5404
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice