Provider Demographics
NPI:1326087644
Name:THOMSON, WILLIAM KING (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:KING
Last Name:THOMSON
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 1:1010 MO PAC CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6865
Mailing Address - Country:US
Mailing Address - Phone:512-327-7930
Mailing Address - Fax:512-306-9166
Practice Address - Street 1:1010 MO PAC CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6865
Practice Address - Country:US
Practice Address - Phone:512-327-7930
Practice Address - Fax:512-306-9166
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice