Dwight E Thompson DDS

NPI 1659524320 - Dentist - 1223G0001X

NPI Details
NPI 1659524320
Gender Male
Enumeration Date 10/28/2008
Last Updated 10/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
567 W. 14TH ST.
UNITS D & E
CHICAGO HEIGHTS IL, 60411, US
Phone (708) 283-9800
Fax
Business Location
430 W. ERIE STREET
SUITE 200
CHICAGO IL, 60610, US
Phone (312) 274-0308
Fax (312) 944-9499
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019.027834
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According to our database, Dwight E Thompson DDS NPI is 1659524320, taxonomy code is 1223G0001X and license number is 019.027834, license state is located at Illinois. Dwight E Thompson DDS physically located at 567 W. 14th St., Chicago Heights IL, 60411. NPI Number Dwight E Thompson DDS has the Individual type.

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1659524320 NPI number is provided on an as is basis without warranty of any kind. 1659524320 is maintained by the National Plan & Provider Enumeration System. The contents of Dwight E Thompson DDS are for informational purposes only.