Glen Thompson, DMD

NPI 1417967936 · on the registry since 2006

Practice

Address: 320 E Armstrong Ave
Peoria, IL 61603
Phone: (309) 360-0495
Organisation at this address: University Of Illinois
Osf Saint Francis Medical Center Gpr Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois