Shannon Shannon is a Dentist in La Grange, Illinois. Shannon Shannon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shannon Shannon is 1063620706. The last update date is 2007-07-08.
Shannon Shannon's current location address is 221 S Catherine Ave, La Grange, Illinois. You can contact this provider via phone number 7085799044 and fax number 7085799044. The mailing address for Shannon Shannon is 221 S Catherine Ave, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Shannon |
|---|---|
| Address | 221 S Catherine Ave, La Grange, Illinois |
| Phone Number | 7085799044 |
| Fax Number | 7085799044 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063620706 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 221 S Catherine Ave |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 605252313 |
| Phone Number | 7085799044 |
| Fax Number | 7085799044 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shannon Shannon by the Centers for Medicare & Medicaid Services?
The Shannon Shannon has been assigned the NPI (National Provider Identifier) 1063620706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Shannon Shannon's facilities are situated?
The facilities of Shannon Shannon are physically located at the following address: 221 S Catherine Ave, La Grange, IL, 605252313.
What is the area of specialization for Shannon Shannon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Shannon is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063620706 to Shannon Shannon?
The Centers for Medicare & Medicaid Services originally issued the 1063620706 to Shannon Shannon on 2007-05-18.
When was the information regarding Shannon Shannon most recently updated?
The details pertaining to the Shannon Shannon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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