Shannon Brock Wilson in Honea Path - Dentist
Shannon Brock Wilson - NPI 1477681146
Shannon Brock Wilson is a Dentist in Honea Path, South Carolina. Shannon Brock Wilson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shannon Brock Wilson is 1477681146. The last update date is 2007-07-08.
Shannon Brock Wilson's current location address is 19 Shirmadon Dr, Honea Path, South Carolina. You can contact this provider via phone number 8643692966 and fax number 8643690666. The mailing address for Shannon Brock Wilson is 19 Shirmadon Dr, Honea Path, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Brock Wilson |
|---|---|
| Address | 19 Shirmadon Dr, Honea Path, South Carolina |
| Phone Number | 8643692966 |
| Fax Number | 8643690666 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1477681146 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19 Shirmadon Dr |
|---|---|
| City | Honea Path |
| State | South Carolina (SC) |
| Post Code | 296541533 |
| Phone Number | 8643692966 |
| Fax Number | 8643690666 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3886 |
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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 provider identifier assigned to Shannon Brock Wilson?
The Shannon Brock Wilson has been issued the NPI (National Provider Identifier) 1477681146 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Shannon Brock Wilson's physical address?
The Shannon Brock Wilson is physically located at 19 Shirmadon Dr, in the city of Honea Path, SC, with the postal code 296541533.
What is the Shannon Brock Wilson's area of specialization and corresponding taxonomy classification?
The Shannon Brock Wilson'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 Brock Wilson's 1477681146 issued?
The Shannon Brock Wilson's 1477681146 was issued on 2007-03-02.
As of what date were the details related to Shannon Brock Wilson most recently updated or revised?
The information pertaining to Shannon Brock Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1063415297
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