Provider Demographics
NPI:1548385784
Name:THOMPSON, STEVEN P (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
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 1:6841 COIT RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5417
Mailing Address - Country:US
Mailing Address - Phone:972-618-5000
Mailing Address - Fax:972-618-9369
Practice Address - Street 1:6841 COIT RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5417
Practice Address - Country:US
Practice Address - Phone:972-618-5000
Practice Address - Fax:972-618-9369
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
868476OtherUCCI