Sprout Pediatric Dentistry, Pinc

NPI #1962760439 in Humble, Texas

Provider Information

NPI Number: 1962760439
Entity Type: Organization
Organization Name: Sprout Pediatric Dentistry, Pinc
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: May 2, 2012
Last Updated: May 2, 2012

Practice Location

Address: 9659 N SAM HOUSTON PKWY E
Address 2: SUITE 103
City: Humble
State: Texas
ZIP Code: 77396-1529
Phone: (800) 764-1829

Authorized Official

Name: DR. SHUNDA L THOMPSON, DDS
Title: OWNER
Phone: (800) 764-1829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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