DR. KENNETH CLYDE THOMPSON D.D.S. NPI 1689697237

NPI Information

NPI: 1689697237
Provider Name: DR. KENNETH CLYDE THOMPSON, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
203 W 20TH ST
SUITE B
MOUNT PLEASANT, TX
ZIP 75455
Phone: (903) 577-9900
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DR. Kenneth Clyde Thompson, D.D.S. is a pediatric dentistry dentist in Mount Pleasant, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Kenneth Clyde Thompson, D.D.S. NPI is 1689697237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

203 W 20TH ST
SUITE B
MOUNT PLEASANT, TX
ZIP 75455-100
Phone: (903) 577-9900
Fax: (903) 577-9901

The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	20214	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87D558	OTHER	TEXAS	TEXAS BCBS ID NUMBER
2	20214	OTHER	TEXAS	LICENSE NUMBER
3	90075488	OTHER	TEXAS	ALABAMA BCBS ID NUMBER
4	1387039	OTHER	TEXAS	UNITED CONCORDIA ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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