Kenneth D Thompson in Modesto - General Practice

Kenneth D Thompson - NPI 1689788598

Kenneth D Thompson is a General Practice in Modesto, California. Kenneth D Thompson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth D Thompson is 1689788598. The last update date is 2007-07-08.

Kenneth D Thompson's current location address is 4213 Dale Rd, Modesto, California. You can contact this provider via phone number 2095454760 and fax number 2095452166. The mailing address for Kenneth D Thompson is 4213 Dale Rd, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth D Thompson
Address 4213 Dale Rd, Modesto, California
Phone Number 2095454760
Fax Number 2095452166
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1689788598
Provider Enumeration Date 2006-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4213 Dale Rd
City Modesto
State California (CA)
Post Code 953568505
Phone Number 2095454760
Fax Number 2095452166

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 47812
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kenneth D Thompson

What is the unique 10-digit identifier code issued to Kenneth D Thompson by the Centers for Medicare & Medicaid Services?

The Kenneth D Thompson has been assigned the NPI (National Provider Identifier) 1689788598 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kenneth D Thompson?

The Kenneth D Thompson is situated at 4213 Dale Rd, in the city of Modesto, state of CA, with the zip code 953568505.

What is Kenneth D Thompson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth D Thompson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689788598 to Kenneth D Thompson?

The Centers for Medicare & Medicaid Services assigned the 1689788598 to Kenneth D Thompson on 2006-08-18.

As of what date were the details pertaining to Kenneth D Thompson last refreshed?

The information related to the Kenneth D Thompson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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