Individual
DR. SHAUN ANDERSON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22 N JEFFERSON AVE, COOKEVILLE, TN 38501-3334
(931) 526-3381
Mailing address
1240 ISLAND PL E, MEMPHIS, TN 38103-8981
(865) 548-7448
(323) 395-0452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
TN
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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