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Michael Benham Thompson
Pediatric Dentist in Greenville, South Carolina
NPI 1154824324

Michael Benham Thompson is a Pediatric Dentist based in Greenville, SC and is specialized in Pediatric Dentistry. Michael Benham Thompson practices in Greenville, SC. The NPI Number for Michael Benham Thompson is 1154824324 and holds a License No. (South Carolina).

The current practice location address for Michael Benham Thompson is 545 Verdae Blvd Ste A, Greenville, SC and can be reached out via phone at 864-676-9873. You can also correspond with Michael Benham Thompson through the mailing address at 205 CAROLINA AVE, GREENVILLE, SC - 29607-3213 (mailing address contact number: ).

Location: 545 Verdae Blvd Ste A, Greenville, SC, 29607-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154824324
Provider Name
Michael Benham Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
545 Verdae Blvd Ste A, Greenville, SC, 29607-3213
Phone Number
864-676-9873
Fax Number
Provider Enumeration Date
03/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
545 Verdae Blvd Ste A
City
Greenville
State
South Carolina
Zip
29607-4021
Phone Number
864-676-9873
Fax Number
person
Provider Business Mailing Address Details
Address
545 Verdae Blvd Ste A
City
Greenville
State
South Carolina
Zip
29607-4021
Phone Number
864-676-9873
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
9508 (South Carolina)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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