Thompson, Rudy
Thompson, Rudy is an individual health care provider with primary practice located at 1434 E 9400 S Ste 206 , Sandy UT 84093-2900. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Thompson, Rudy can be contacted via phone (801) 571-0063.Contact Information
Primary practice address
1434 E 9400 S Ste 206
Sandy UT 84093-2900
Phone: (801) 571-0063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 325297-9921 | Utah |
Profile Details
| NPI number | 1053322123 |
|---|---|
| LBN Legal business name | Thompson, Rudy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Oct 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053322123 | NPPES |
| Utah | MEDICAID | 5293190002 |
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