Provider Demographics
NPI:1447304035
Name:THOMPSON,III, HENRY D (DDS)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:D
Last Name:THOMPSON,III
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:TREY
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:909 DAIRY ASHFORD ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5309
Mailing Address - Country:US
Mailing Address - Phone:281-493-5480
Mailing Address - Fax:281-493-1473
Practice Address - Street 1:909 DAIRY ASHFORD ST
Practice Address - Street 2:SUITE 109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5309
Practice Address - Country:US
Practice Address - Phone:281-493-5480
Practice Address - Fax:281-493-1473
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20606122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist