Bryan J Shanahan in Flagstaff - General Practice
Bryan J Shanahan - NPI 1265505226
Bryan J Shanahan is a General Practice in Flagstaff, Arizona. Bryan J Shanahan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bryan J Shanahan is 1265505226. The last update date is 2019-03-22.
Bryan J Shanahan's current location address is 750 N Kendrick St Ste 100, Flagstaff, Arizona. You can contact this provider via phone number 9287742500. The mailing address for Bryan J Shanahan is 750 N Kendrick St Ste 100, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan J Shanahan |
|---|---|
| Address | 750 N Kendrick St Ste 100, Flagstaff, Arizona |
| Phone Number | 9287742500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1265505226 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2019-03-22 |
Provider Mailing Address Detail
| Address | 750 N Kendrick St Ste 100 |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860013067 |
| Phone Number | 9287742500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4241 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 860783790 | AZ | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bryan J Shanahan by the Centers for Medicare & Medicaid Services?
The Bryan J Shanahan has been issued the NPI (National Provider Identifier) 1265505226, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bryan J Shanahan is physically located?
The Bryan J Shanahan is situated at the following address: 750 N Kendrick St Ste 100, Flagstaff, AZ 860013067.
What is Bryan J Shanahan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bryan J Shanahan is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Bryan J Shanahan receive the assignment of its 1265505226 from the Centers for Medicare & Medicaid Services?
The Bryan J Shanahan was issued its 1265505226 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information regarding Bryan J Shanahan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bryan J Shanahan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-03-22.