Provider Demographics
NPI:1043390263
Name:THOMPSON, KAREN BARNETT (DDS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BARNETT
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 S AUSTIN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-7741
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2415 S AUSTIN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-7741
Practice Address - Country:US
Practice Address - Phone:903-327-8540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist