Kyle Shannon D.D.S

NPI 1780801183 - Dentist - 1223X0400X

NPI Details
NPI 1780801183
Gender Male
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3150 E 41ST ST
SUITE 112
TULSA OK, 74105-3717, US
Phone (918) 743-2321
Fax (918) 749-5121
Business Location
3150 E 41ST ST
SUITE 112
TULSA OK, 74105-3717, US
Phone (918) 743-2321
Fax (918) 749-5121
Toxanomy
Taxonomy Code 1223X0400X
License State Oklahoma
License Number 5410
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According to our database, Kyle Shannon D.D.S NPI is 1780801183, taxonomy code is 1223X0400X and license number is 5410, license state is located at Oklahoma. Kyle Shannon D.D.S physically located at 3150 E 41st St, Tulsa OK, 74105-3717. NPI Number Kyle Shannon D.D.S has the Individual type.

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1780801183 NPI number is provided on an as is basis without warranty of any kind. 1780801183 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle Shannon D.D.S are for informational purposes only.