Provider Demographics
NPI:1154443570
Name:THOMPSON, DAVID ALAN (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S TAMIAMI TRL
Mailing Address - Street 2:SUITE7
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5100
Mailing Address - Country:US
Mailing Address - Phone:941-365-3388
Mailing Address - Fax:941-954-0521
Practice Address - Street 1:3300 S TAMIAMI TRL
Practice Address - Street 2:SUITE7
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5100
Practice Address - Country:US
Practice Address - Phone:941-365-3388
Practice Address - Fax:941-954-0521
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00101771223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT87838Medicare UPIN