Provider Demographics
NPI:1609873892
Name:THOMPSON, WILLIAM KNOERR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KNOERR
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:KNOERR
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:9475 BRIAR VILLAGE PT
Mailing Address - Street 2:STE 115
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7902
Mailing Address - Country:US
Mailing Address - Phone:719-268-9400
Mailing Address - Fax:719-268-9403
Practice Address - Street 1:9475 BRIAR VILLAGE PT
Practice Address - Street 2:STE 115
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7902
Practice Address - Country:US
Practice Address - Phone:719-268-9400
Practice Address - Fax:719-268-9403
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
CO78111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice