Kaleb C Thompson Dmd PA Vi
Dentist, General Practice in Leland, NC. Organization (NPI-2).
NPI number1114782836
StatusActive
Last updated in NPPESFeb 21, 2024
Details
- NPI
- 1114782836
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaleb C Thompson Dmd PA Vi
- Organization subpart
- No
- Enumeration date
- Feb 21, 2024
- Certification date
- Feb 21, 2024
- Last updated
- Feb 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Transformations Leland (Doing Business As)
Practice location
1006 Northgate DrLeland, NC 28451-6448
Phone 252-335-4341
Mailing address
814 Canal Cove RdLake Waccamaw, NC 28450-1816
Phone 248-513-0259
Authorized official
Kaleb C Thompson
Owhner
2523354341
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All 29 General Practice Dentistry providers in Leland · All 552 providers in Leland
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