Abby Joanna Shannon in Jbsa-lackland - Dentist

Abby Joanna Shannon - NPI 1235391772

Abby Joanna Shannon is a Dentist in Jbsa-lackland, Texas. Abby Joanna Shannon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Abby Joanna Shannon is 1235391772. The last update date is 2021-06-18.

Abby Joanna Shannon's current location address is 59 Dg Af Postgraduate Dental School, Jbsa-lackland, Texas. You can contact this provider via phone number 2102926258. The mailing address for Abby Joanna Shannon is 59 Dg Af Postgraduate Dental School, Jbsa-lackland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Abby Joanna Shannon
Address 59 Dg Af Postgraduate Dental School, Jbsa-lackland, Texas
Phone Number 2102926258
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1235391772
Provider Enumeration Date 2008-06-26
Last Updated Date 2021-06-18

Provider Mailing Address Detail

Address 59 Dg Af Postgraduate Dental School
City Jbsa-lackland
State Texas (TX)
Post Code 782365313
Phone Number 2102926258
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8552
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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FAQs about Abby Joanna Shannon

What is the unique provider identifier assigned to Abby Joanna Shannon?

The Abby Joanna Shannon has been issued the NPI (National Provider Identifier) 1235391772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Abby Joanna Shannon is physically located?

The Abby Joanna Shannon is situated at the following address: 59 Dg Af Postgraduate Dental School, Jbsa-Lackland, TX 782365313.

What is Abby Joanna Shannon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Abby Joanna Shannon's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235391772 to Abby Joanna Shannon?

The Centers for Medicare & Medicaid Services originally issued the 1235391772 to Abby Joanna Shannon on 2008-06-26.

As of what date was the information regarding Abby Joanna Shannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Abby Joanna Shannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-06-18.

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