Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAUN HENDERSON, DMD
ActiveDR. SHAUN HENDERSON, DMD is a Dentist healthcare provider located in KIRTLAND, New Mexico. NPI 1982133849 is currently active in the NPPES registry. Verify at CMS.
Dentist · KIRTLAND, NM
Registration Details
- NPI Number
- 1982133849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2017 (9.1756445987199 yrs)
- Last Updated
- Jul 21, 2022
- License
-
DD4700 (NM)
Practice Information
- Address
-
3 ROAD 6523KIRTLAND, NM, 874179452Browse NM providers · Browse ZIP 87417
- Phone
- 5055986800
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in KIRTLAND, NM
| Name | Credential | NPI |
|---|---|---|
| TAYLOR CLARK | DDS | 1336155571 |
| CODY BURNELL COLEMAN | DDS | 1316070303 |
| BRUCE BRONDON SHAHEEN | DDS | 1851686430 |
| MICHAEL DARAIS | — | 1730596024 |
| DR. CHRIS JOHN GIBLETTE | D.M.D | 1871973693 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.