Most Relevant Information
Provider Data
| NPI Number: | 1003302894 |
| Provider Name: | BRYAN MCGUIGAN THOMPSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 00203595 |
Most Important Dates
| Enumeration Date: | 07/05/2018 |
| Last Updated: | 02/15/2021 |
Provider Practice Location
5108 N CLINTON ST
FORT WAYNE
IN
468255720
Practice Location Phone/Fax
| Phone: | 2604821551 |
| Fax: | 2604844537 |
Provider Mailing Location
5108 N CLINTON ST
FORT WAYNE
IN
468255720
Provider Mailing Phone/Fax
| Phone: | 2604821551 |
| Fax: | 2604844537 |