Provider Demographics
NPI:1578712485
Name:THOMPSON, UYEN NHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:UYEN
Middle Name:NHA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 OLD TELEGRAPH CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6587
Mailing Address - Country:US
Mailing Address - Phone:310-756-2321
Mailing Address - Fax:
Practice Address - Street 1:688 OLD TELEGRAPH CANYON RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6587
Practice Address - Country:US
Practice Address - Phone:619-216-2121
Practice Address - Fax:619-216-2122
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA573531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice