| Dr Fred Elmo Thompson, DDS | |
|
1600 Republic Pkwy, Suite 210, Mesquite, TX 75150-6918 | |
| (972) 686-1000 | |
| (972) 686-2231 |
| Full Name | Dr Fred Elmo Thompson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1600 Republic Pkwy, Mesquite, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326254772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12339 (Texas) | Primary |
| Entity Name | Innate Dental Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558985184 PECOS PAC ID: 7012330343 Enrollment ID: O20200706001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fred Elmo Thompson, DDS 1600 Republic Pkwy, Suite 210, Mesquite, TX 75150-6918 Ph: (972) 686-1000 | Dr Fred Elmo Thompson, DDS 1600 Republic Pkwy, Suite 210, Mesquite, TX 75150-6918 Ph: (972) 686-1000 |
Dr. Laney Tram Mai, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 N Galloway Ave Ste A, Mesquite, TX 75149 Phone: 818-963-0668 | |
Dr. Charles Michael Sauter, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1425 Gross Rd, Ste 116, Mesquite, TX 75149 Phone: 972-289-3139 | |
Simon George Kolath, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 820 E Cartwright Rd Ste 140, Mesquite, TX 75149 Phone: 972-329-2442 Fax: 972-329-2452 | |
Victoria Marie Deleon, Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 N Galloway Ave Ste A, Mesquite, TX 75149 Phone: 972-329-4200 | |
Dr. Trung Minh Tang, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2110 N Galloway Ave, Suite 120, Mesquite, TX 75150 Phone: 972-216-0300 Fax: 972-216-0700 | |
Dr. Tien Nguyen, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 2110 N Galloway Ave, Suite 120, Mesquite, TX 75150 Phone: 972-216-0300 Fax: 972-216-0700 | |
Dr. Maryam Fazal, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3220 Gus Thomasson Rd, Mesquite, TX 75150 Phone: 817-222-9900 |