DR. DERRICK LANE THOMPSON DDS NPI 1760611875

NPI Information

DR. Derrick Lane Thompson, DDS is a general practice dentist in Los Angeles, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Derrick Lane Thompson, DDS NPI is 1760611875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11645 WILSHIRE BLVD
703
LOS ANGELES, CA
ZIP 90025-708
Phone: (310) 479-4432
Fax: (310) 477-5283

The enumeration date for this NPI number is 7/9/2009 and was last updated on 7/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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