Eldon C Thompson Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN 013526 Issued in MO

Practice address

208 N Main St
Berryville, AR 72616-3925

Phone

(870) 423-2102

Fax

(870) 423-5737

NPI assigned

Jan 29, 2007

Last updated

Feb 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eldon C Thompson Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eldon C. Thompson, Jr. DDS LLC

  • General Practice Dentistry
  • Berryville, AR
  • NPI 1972800969
  NPD (past) Authorized official
• Robert M. Spurlin D.D.S

  • General Practice Dentistry
  • Berryville, AR
  • NPI 1720223597
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1023154226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163925",
            "telephone_number": "870-423-2102",
            "fax_number": "870-423-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163925",
            "telephone_number": "870-423-2102",
            "fax_number": "870-423-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELDON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DEN 013526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELDON",
            "last_name": "THOMPSON",
            "middle_name": "C",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kent E Swogger, CRNA
• T&J Ventures LLC (Poynor Drug)
• Richard L. Taylor, MD
• The Family Doctor of Berryville, PLC
• Therapy Services of Northwest Arkansas, LLC
• Abigail McCaul Thurman
• Robyn Thurman, LPC
• Ida Linda Trice, PH.D
• John Nathan Trice, PH.D.
• Tyler Worth Troutman, M.D.

• General Practice Dentistry in Berryville, AR
• Providers in Berryville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.