Individual
SHUNDA THOMPSON
Active
Individual
SHUNDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23564
TX
1223G0001X
General Practice Dentistry
23564
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23564
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN012649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18649114
—
TX
05
—
186495115
—
TX
05
—
836857158C
—
GA
Enumeration date
07/19/2006
Last updated
10/09/2025
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