Provider Demographics
NPI:1558387647
Name:THOMPSON, HUGH ARTHUR (DDS)
Entity type:Individual
Prefix:MR
First Name:HUGH
Middle Name:ARTHUR
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 UPPERMAN LANE
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:TN
Mailing Address - Zip Code:38544
Mailing Address - Country:US
Mailing Address - Phone:931-858-3181
Mailing Address - Fax:931-858-3181
Practice Address - Street 1:111 UPPERMAN LANE
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:TN
Practice Address - Zip Code:38544
Practice Address - Country:US
Practice Address - Phone:931-858-3181
Practice Address - Fax:931-858-3181
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TND5003469122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist