Provider Demographics
NPI:1871788067
Name:THOMPSON, WILLIAM ASHTON (DDS,PA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ASHTON
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DDS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-1333
Mailing Address - Country:US
Mailing Address - Phone:706-453-2351
Mailing Address - Fax:706-453-4714
Practice Address - Street 1:104 E NORTH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-1333
Practice Address - Country:US
Practice Address - Phone:706-453-2351
Practice Address - Fax:706-453-4714
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA73801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice