Richard J. Shannon DDS

NPI 1003893991 - Dentist - 1223G0001X

NPI Details
NPI 1003893991
Gender Male
Enumeration Date 12/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1251 W UNIVERSITY AVE
FLAGSTAFF AZ, 86001-2602, US
Phone (928) 214-0772
Fax (928) 214-0773
Business Location
1251 W UNIVERSITY AVE
FLAGSTAFF AZ, 86001-2602, US
Phone (928) 214-0772
Fax (928) 214-0773
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 3611
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According to our database, Dr. Richard J. Shannon DDS NPI is 1003893991, taxonomy code is 1223G0001X and license number is 3611, license state is located at Arizona. Richard J. Shannon DDS physically located at 1251 W University Ave, Flagstaff AZ, 86001-2602. NPI Number Richard J. Shannon DDS has the Individual type.

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1003893991 NPI number is provided on an as is basis without warranty of any kind. 1003893991 is maintained by the National Plan & Provider Enumeration System. The contents of Richard J. Shannon DDS are for informational purposes only.