Provider Demographics
NPI:1346404779
Name:THOMPSON, CHRISTOPHER MCHANEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MCHANEY
Last Name:THOMPSON
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 1:6651 N OAK TRFY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118-3332
Mailing Address - Country:US
Mailing Address - Phone:816-468-6767
Mailing Address - Fax:816-468-1318
Practice Address - Street 1:6651 N OAK TRFY
Practice Address - Street 2:SUITE 8
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-3332
Practice Address - Country:US
Practice Address - Phone:816-468-6767
Practice Address - Fax:816-468-1318
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080182591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice