Individual
DR. SHANNON D THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
777 H ST NE, WASHINGTON, DC 20002-3626
(202) 560-5955
Mailing address
5333 CONNECTICUT AVE NW APT 926, WASHINGTON, DC 20015-1944
(904) 778-5988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1002046
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2019
Last updated
03/31/2020
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