NPI 1003302894

Bryan McGuigan Thompson, DDS

Practitioner General Practice Dentistry Fort Wayne, IN

Practice location

Address: 5108 N Clinton St, Fort Wayne, IN 46825-5720
Phone: (260) 482-1551
Fax: (260) 484-4537

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12013073A (IN)

Other Dentist providers in Indiana →

Dentist

Dental Providers Taxonomy 122300000X Licence 00203595 (CO)

Registry record

NPI: 1003302894
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2018
Record last updated: 15 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.