Provider Demographics
NPI:1932117843
Name:THOMPSON, OSWALD NORRIS (DDS)
Entity Type:Individual
Prefix:
First Name:OSWALD
Middle Name:NORRIS
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 1:2041 MARTIN LUTHER KING JR AVE SE
Mailing Address - Street 2:SUITE M11
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020
Mailing Address - Country:US
Mailing Address - Phone:202-889-5200
Mailing Address - Fax:202-889-5731
Practice Address - Street 1:2041 MARTIN LUTHOR KING JR AVE SE
Practice Address - Street 2:SUITE M11
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:202-889-5200
Practice Address - Fax:202-889-5731
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC31431223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry