Provider Demographics
NPI:1780890459
Name:THOMPSON, WILLIAM LEE (MD DDS)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:LEE
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2900 UNION LAKE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382
Mailing Address - Country:US
Mailing Address - Phone:248-363-5900
Mailing Address - Fax:248-363-4917
Practice Address - Street 1:2900 UNION LAKE RD STE 105
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382
Practice Address - Country:US
Practice Address - Phone:248-363-5900
Practice Address - Fax:248-547-8836
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019256122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist