Thompson, Mary Amanda

Thompson, Mary Amanda is an individual health care provider with primary practice located at 189 Baker Ave , St Louis MO 63119. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Thompson, Mary Amanda can be contacted via phone (314) 961-1160.

Contact Information

Primary practice address
189 Baker Ave St Louis MO 63119
Fax: (314) 961-7822
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X Missouri

Profile Details

NPI number 1306961263
LBN Legal business name Thompson, Mary Amanda
Credentials Certified Dental Assistant (CDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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