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General NPI Number Information
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NPI Number | 1740542224
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Entity Type | Individual
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Provider Name | SANDRA THOMPSON DMD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 9859 W DEER SPRINGS WAY STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89149-1447
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Country | US
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Telephone | 702-660-7099
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Fax |
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Provider Business Mailing Address
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Address Line | 9859 W DEER SPRINGS WAY STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89149-1447
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Country | US
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Telephone | 702-660-7099
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | S6-129
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License Number State | NV
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