| R Scott Thompson, Dds, Pa | |
|
1314 E Venice Ave Ste F Venice FL 34285-7160 | |
| (941) 488-7910 | |
| (941) 480-0839 |
| Full Name | R Scott Thompson, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1314 E Venice Ave Ste F, Venice, Florida |
| Authorized Official Name and Position | R Scott Thompson (PRESIDENT) |
| Authorized Official Contact | 9414887910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Scott Thompson, Dds, Pa 1314 E Venice Ave Ste F Venice FL 34285-7160 Ph: (941) 488-7910 | R Scott Thompson, Dds, Pa 1314 E Venice Ave Ste F Venice FL 34285-7160 Ph: (941) 488-7910 |
| NPI Number | 1427594076 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427594076 | NPI | - | NPPES |
| 511613837863 | Other | FL | MEDICARE CCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN11717 (Florida) | Primary |
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