Provider Demographics
NPI:1952619934
Name:THOMPSON, VERLE BURTON III (DMD)
Entity Type:Individual
Prefix:DR
First Name:VERLE
Middle Name:BURTON
Last Name:THOMPSON
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 HIGHWAY 64 E
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6968
Mailing Address - Country:US
Mailing Address - Phone:828-837-2113
Mailing Address - Fax:
Practice Address - Street 1:4048 E US HIGHWAY 64 ALT
Practice Address - Street 2:SUITE 10
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6968
Practice Address - Country:US
Practice Address - Phone:828-837-2113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC90061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5916218Medicaid