Provider Demographics
NPI:1609191584
Name:THOMPSON, YVETTE E (DDS)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:E
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:E
Other - Last Name:ARANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3115 ACADEMY RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-0031
Mailing Address - Country:US
Mailing Address - Phone:707-567-5606
Mailing Address - Fax:
Practice Address - Street 1:3115 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-0031
Practice Address - Country:US
Practice Address - Phone:707-567-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98781223P0221X, 1223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
No1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1223D0001XMedicaid