Provider Demographics
NPI:1033630371
Name:THOMPSON, MARGARET CRAVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:CRAVEN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:ELIZABETH
Other - Last Name:CRAVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 2ND AVENUE SOUTH
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401
Mailing Address - Country:US
Mailing Address - Phone:612-338-4122
Mailing Address - Fax:612-338-1713
Practice Address - Street 1:250 2ND AVENUE SOUTH
Practice Address - Street 2:SUITE 250
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401
Practice Address - Country:US
Practice Address - Phone:612-338-4122
Practice Address - Fax:612-338-1713
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND138651223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice