Provider Demographics
NPI:1750384145
Name:THOMPSON, LAWRENCE DONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DONALD
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 1:209 W. PECAN ST.
Mailing Address - Street 2:P.O. BOX 917
Mailing Address - City:COLEMAN
Mailing Address - State:TX
Mailing Address - Zip Code:76834-0917
Mailing Address - Country:US
Mailing Address - Phone:325-625-3535
Mailing Address - Fax:325-625-5693
Practice Address - Street 1:209 W. PECAN ST.
Practice Address - Street 2:
Practice Address - City:COLEMAN
Practice Address - State:TX
Practice Address - Zip Code:76834-0917
Practice Address - Country:US
Practice Address - Phone:325-625-3535
Practice Address - Fax:325-625-5693
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice