IndividualActive
Jonathon Thomson, DMD
NPI 1629636667 · General Practice Dentistry · Wickenburg, AZ
Provider details
- NPI number
- 1629636667
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI02769501 (NJ)
Practice location
1175 W Wickenburg Way
Suite 1
Wickenburg, AZ 85390-2262
Phone: (928) 684-1145
Mailing address
1175 W Wickenburg Way
Wickenburg, AZ 85390-2262
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.