Provider Demographics
NPI:1114514510
Name:MURRAY M. THOMPSON DDS, PC
Entity Type:Organization
Organization Name:MURRAY M. THOMPSON DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:MCKAY
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-224-5355
Mailing Address - Street 1:640 E SIOUX AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-3300
Mailing Address - Country:US
Mailing Address - Phone:605-224-5355
Mailing Address - Fax:605-224-4846
Practice Address - Street 1:640 E SIOUX AVE STE 1
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-3300
Practice Address - Country:US
Practice Address - Phone:605-224-5355
Practice Address - Fax:605-224-4846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1316929904OtherNPI NUMBER AS PROVIDER