Dr. Kenneth Thompson D.d.s. | |
2701 Se G St Suite 9 Bentonville AR 72712-3740 | |
(479) 273-5345 | |
(479) 273-5335 |
Full Name | Dr. Kenneth Thompson D.d.s. |
---|---|
Speciality | Clinic/center - Dental |
Location | 2701 Se G St, Bentonville, Arkansas |
Authorized Official Name and Position | Kenneth R. Thompson (DENTIST/OWNER) |
Authorized Official Contact | 4792735345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Kenneth Thompson D.d.s. 2701 Se G St Suite 9 Bentonville AR 72712-3740 Ph: (479) 273-5345 | Dr. Kenneth Thompson D.d.s. 2701 Se G St Suite 9 Bentonville AR 72712-3740 Ph: (479) 273-5345 |
NPI Number | 1124264965 |
---|---|
Provider Enumeration Date | 12/29/2008 |
Last Update Date | 12/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124264965 | NPI | - | NPPES |
101101608 | Medicaid | AR | |
1437286861 | Other | AR | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1888 (Arkansas) | Primary |
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› Verified 5 days ago
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