Provider Demographics
NPI:1811136393
Name:THOMPSON & SCHROYER DDS PC
Entity type:Organization
Organization Name:THOMPSON & SCHROYER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:W
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-329-2289
Mailing Address - Street 1:201 N. RIVERSIDE
Mailing Address - Street 2:SUITE E2A
Mailing Address - City:ST. CLAIR
Mailing Address - State:MI
Mailing Address - Zip Code:48079
Mailing Address - Country:US
Mailing Address - Phone:810-329-2289
Mailing Address - Fax:810-329-6387
Practice Address - Street 1:201 N. RIVERSIDE
Practice Address - Street 2:SUITE E2A
Practice Address - City:ST. CLAIR
Practice Address - State:MI
Practice Address - Zip Code:48079
Practice Address - Country:US
Practice Address - Phone:810-329-2289
Practice Address - Fax:810-329-6387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI105781223G0001X
MI105711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty