Provider Demographics
NPI:1235128935
Name:THOMPSON, RONALD K (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:K
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 1:426 W 5TH PL
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-5619
Mailing Address - Country:US
Mailing Address - Phone:480-890-2281
Mailing Address - Fax:480-890-2806
Practice Address - Street 1:426 W 5TH PL
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-5619
Practice Address - Country:US
Practice Address - Phone:480-890-2281
Practice Address - Fax:480-890-2806
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD37991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice