NPI 1306961263
Mary Amanda Thompson, CDA
Practice location
- Address
- 189 Baker Ave, St Louis, MO 63119
- Phone
- (314) 961-1160
- Fax
- (314) 961-7822
- Mailing address
- 4233 J Summit Knoll Dr, St Louis, MO 63129
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1306961263
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Mar 2007
- Record last updated
- 8 Jul 2007
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.