Steven J. Thompson, D.D.S.

Individual provider Active NPI General Practice Dentistry · Holley, NY

NPI 1346397270 · NPPES record last updated Mar 11, 2011

Key facts

NPI
1346397270
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
038054 (NY)
Practice address
42 Public SQ
Holley, NY 14470-1129
Phone
(585) 638-5435
Fax
(585) 638-7798
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
038054NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Thompson MD PA Past
since Nov 7, 1983
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 038054 NY Yes

Addresses

Primary practice location

42 Public SQ
Holley, NY 14470-1129

Mailing address

42 Public SQ
Holley, NY 14470-1129
Phone (585) 638-5435

Other providers in Holley, NY

All providers in Holley, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.