person
Dr. Kenneth Clyde Thompson, DDS
Pediatric Dentist in Mount Pleasant, Texas
NPI 1689697237

Kenneth Clyde Thompson is a Pediatric Dentist based in Mount Pleasant, TX and is specialized in Pediatric Dentistry. Kenneth Clyde Thompson practices in Mount Pleasant, TX and has the professional credentials of DDS. The NPI Number for Kenneth Clyde Thompson is 1689697237 and holds a License No. 20214 (Texas).

The current practice location address for Kenneth Clyde Thompson is 203 W 20Th St, Mount Pleasant, TX and can be reached out via phone at 903-577-9900 and via fax at 903-577-9901.

Location: 203 W 20Th St, Mount Pleasant, TX, 75455-1100
person
Provider Profile Details
NPI Number
1689697237
Provider Name
Kenneth Clyde Thompson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
203 W 20Th St, Mount Pleasant, TX, 75455-1100
Phone Number
903-577-9900
Fax Number
903-577-9901
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87D558 01 TX TEXAS BCBS ID NUMBER
20214 01 TX LICENSE NUMBER
90075488 01 TX ALABAMA BCBS ID NUMBER
1387039 01 TX UNITED CONCORDIA ID
institution
Provider Business Practice Location Address Details
Address
203 W 20Th St
City
State
Zip
75455-1100
Phone Number
903-577-9900
Fax Number
903-577-9901
person
Provider Business Mailing Address Details
Address
203 W 20Th St
City
State
Zip
75455-1100
Phone Number
903-577-9900
Fax Number
903-577-9901
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
20214 (Texas)
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.
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