IndividualActive
Mary Thompson, CDA
NPI 1306961263 · Dental Assistant · St Louis, MO
Provider details
- NPI number
- 1306961263
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- CDA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
189 Baker Ave
St Louis, MO 63119
Phone: (314) 961-1160
Fax: (314) 961-7822
Approximate (ZIP-level) locationGet directions
Mailing address
4233 J Summit Knoll Dr
St Louis, MO 63129
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.