MICHAEL DAVID THOMPSON DDS, FAGD
NPI 1417939174
Dentist - General Practice in Jefferson City, MO

Q: What is Michael Thompson's NPI number?

The NPI number for Michael Thompson is 1417939174. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Michael Thompson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Thompson was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2005

3551 AMAZONAS DR, JEFFERSON CITY, MO 65109(573) 634-2400(573) 761-7528 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Michael David Thompson Dds, Fagd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DAVID THOMPSON DDS, FAGD (NPI 1417939174) is an individual general practice provider in Jefferson City, Missouri, licensed in Missouri (011494) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1417939174

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMICHAEL DAVID THOMPSONCredential: DDS, FAGD

Location Address3551 AMAZONAS DRJefferson City, MO 65109-5717

Mailing Address3551 Amazonas DrJefferson City, MO 65109-5717 · (573) 634-2400 · Fax (573) 761-7528

Phone(573) 634-2400

Fax(573) 761-7528

Sole ProprietorYes

Enumeration DateNovember 17, 2005

Last NPPES UpdateMay 20, 2015

✔ NPI 1417939174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 011494

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3551 AMAZONAS DR, Jefferson City, MO 65109

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Other Identifiers 1

Medicare NSC7319030001

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN LEE JOHNSON DDS

Dentist (General Practice)

3551 AMAZONAS DR
JEFFERSON CITY, MO 65109

Cole County (573) 634-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Thompson's NPI number?

The NPI number for Michael Thompson is 1417939174. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Michael Thompson located?

Michael Thompson practices at 3551 Amazonas Dr, Jefferson City, MO 65109. The listed phone number is (573) 634-2400.

What is Michael Thompson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Thompson was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.