Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shaun Henderson, DMD

Individual provider Dentist · NPI 1982133849

Dr. Shaun Henderson, DMD is a Dentist in Kirtland, New Mexico. Licensed in New Mexico. Registered with an NPI since 2017.

Licensed in
NM
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3 Road 6523
Kirtland, NM 87417-9452
Phone: (505) 598-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD4700 (NM)

Record details

NPI number1982133849
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 5, 2017
Last updated in NPPESJuly 21, 2022

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