Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel Michael Thompson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982161501

Samuel Michael Thompson is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

Dental College Of Georgia 1120 15th Street Gc 5110
Augusta, GA 30912-0001
Phone: (706) 721-2251
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982161501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2019
Last updated in NPPESMarch 1, 2019
Mailing address4868 Bridgewood Rd, Owensboro, KY 42303-4654

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