Thompson, Damon Bennett
Thompson, Damon Bennett is an sole proprietor health care provider with primary practice located at 250 South Main Street, Suite 212 , Blacksburg VA 24060. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Thompson, Damon Bennett can be contacted via phone (540) 552-5433.Contact Information
Primary practice address
250 South Main Street, Suite 212
Blacksburg VA 24060
Phone: (540) 552-5433
Fax: (540) 552-2273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 041008616 | Virginia |
| Dental Providers / Dentist | 122300000X | 401008616 | Virginia |
Profile Details
| NPI number | 1811071871 |
|---|---|
| LBN Legal business name | Thompson, Damon Bennett |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Aug 12th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811071871 | NPPES |
| Virginia | MEDICAID | 9178608 |
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