Individual
DR. SHAWN LEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3790 FERNANDINA RD STE 201, COLUMBIA, SC 29210-3864
(803) 678-9999
Mailing address
3790 FERNANDINA RD STE 201, COLUMBIA, SC 29210-3864
(803) 678-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10598
SC
1223G0001X
General Practice Dentistry
20609
OH
Other
Enumeration date
05/10/2007
Last updated
10/09/2023
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