Eldon C. Thompson, Jr. DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3747AR Issued in AR

Legal business name

ELDON C. THOMPSON, JR. DDS LLC

Practice address

208 N Main St
Berryville, AR 72616-3925

Phone

(870) 423-2102

Fax

(870) 423-5737

NPI assigned

Feb 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Eldon C Thompson Jr., DDSNPI 1023154226

Title

Doctor

Phone

(870) 423-2102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eldon C Thompson Jr., D.D.S.

  • General Practice Dentistry
  • Berryville, AR
  • NPI 1023154226

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1972800969",
    "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": {
        "organization_name": "ELDON C. THOMPSON, JR. DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ELDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "870-423-2102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3747AR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Davidson
• Alyssa Harris Dean, LAC
• Jennifer Lynn Depew, R.N.
• Clare Anastasia Doss, PT, DPT
• Miranda Marie Dowell, MSN, APRN, FNP-C
• Jonathan Fausett, D.O
• Dennis John Fellers, RPT
• Julie Fellers, PTA
• Mary Finch
• William K.. Flake, MD

• All providers in Berryville, AR
• 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.