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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 1376 Cleveland St, Greenville, SC and can be reached out via phone at 864-250-1100.

Location: 1376 Cleveland St, 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
1376 Cleveland St, Greenville, SC, 29607-3213
Phone Number
864-250-1100
Fax Number
Provider Enumeration Date
03/14/2018
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1376 Cleveland St
City
Greenville
State
South Carolina
Zip
29607-2435
Phone Number
864-250-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1376 Cleveland St
City
Greenville
State
South Carolina
Zip
29607-2435
Phone Number
864-250-1100
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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