Provider Demographics
NPI:1497048748
Name:THOMSON, COLBY VINTON
Entity Type:Individual
Prefix:DR
First Name:COLBY
Middle Name:VINTON
Last Name:THOMSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1834
Mailing Address - Country:US
Mailing Address - Phone:205-823-1654
Mailing Address - Fax:
Practice Address - Street 1:1913 LAUREL RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1834
Practice Address - Country:US
Practice Address - Phone:205-823-1654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD..5823-C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist