Shannon Vickery is a Dentist in Louisville, Kentucky. Shannon Vickery practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shannon Vickery is 1427162544. The last update date is 2016-03-22.
Shannon Vickery's current location address is 9706 Taylorsville Rd, Louisville, Kentucky. You can contact this provider via phone number 5024385387. The mailing address for Shannon Vickery is 9706 Taylorsville Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Vickery |
|---|---|
| Address | 9706 Taylorsville Rd, Louisville, Kentucky |
| Phone Number | 5024385387 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1427162544 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2016-03-22 |
Provider Mailing Address Detail
| Address | 9706 Taylorsville Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402992753 |
| Phone Number | 5024385387 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5165 |
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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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What is the Shannon Vickery's 1427162544?
The Shannon Vickery's NPI (National Provider Identifier) Number is 1427162544. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon Vickery located?
The Shannon Vickery is located at 9706 Taylorsville Rd, Louisville, KY 402992753.
What is the Shannon Vickery's area of specialization and corresponding taxonomy classification?
The Shannon Vickery's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When was the Shannon Vickery's 1427162544 issued?
The Shannon Vickery's 1427162544 was issued on 2006-08-18.
As of what date were the details related to Shannon Vickery most recently updated or revised?
The information pertaining to Shannon Vickery, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY