Provider Demographics
NPI:1811981962
Name:THOMPSON, DENNIS M (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
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 1:3626 E HIGHLANDS RANCH PKWY
Mailing Address - Street 2:#107
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-7885
Mailing Address - Country:US
Mailing Address - Phone:303-471-0841
Mailing Address - Fax:
Practice Address - Street 1:12477 TOPAZ VISTA WAY
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-8256
Practice Address - Country:US
Practice Address - Phone:303-925-0571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36951223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics