Provider Demographics
NPI:1013317601
Name:HUGH A. THOMPSON DDS
Entity Type:Organization
Organization Name:HUGH A. THOMPSON DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-858-3181
Mailing Address - Street 1:111 UPPERMAN LN
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:TN
Mailing Address - Zip Code:38544-5168
Mailing Address - Country:US
Mailing Address - Phone:931-858-3181
Mailing Address - Fax:931-858-3181
Practice Address - Street 1:111 UPPERMAN LN
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:TN
Practice Address - Zip Code:38544-5168
Practice Address - Country:US
Practice Address - Phone:931-858-3181
Practice Address - Fax:931-858-3181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty