Brian Paul Shannon in Westerly - Pediatric Dentistry

Brian Paul Shannon - NPI 1790725380

Brian Paul Shannon is a Pediatric Dentistry in Westerly, Rhode Island. Brian Paul Shannon practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brian Paul Shannon is 1790725380. The last update date is 2007-07-08.

Brian Paul Shannon's current location address is 130 C Granite Street, Westerly, Rhode Island. You can contact this provider via phone number 4015968720 and fax number 4015965403. The mailing address for Brian Paul Shannon is 130 C Granite Street, Westerly, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Paul Shannon
Address 130 C Granite Street, Westerly, Rhode Island
Phone Number 4015968720
Fax Number 4015965403
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1790725380
Provider Enumeration Date 2006-06-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 130 C Granite Street
City Westerly
State Rhode Island (RI)
Post Code 2891
Phone Number 4015968720
Fax Number 4015965403

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 2263
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Brian Paul Shannon

What is the unique identifier code issued to Brian Paul Shannon by the Centers for Medicare & Medicaid Services?

The Brian Paul Shannon has been assigned the NPI (National Provider Identifier) 1790725380. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Brian Paul Shannon's facilities are geographically located?

The facilities of Brian Paul Shannon are physically situated at the following location: 130 C Granite Street, Westerly, RI, 2891.

What is Brian Paul Shannon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brian Paul Shannon is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790725380 to Brian Paul Shannon?

The Centers for Medicare & Medicaid Services assigned the 1790725380 to Brian Paul Shannon on 2006-06-08.

As of what date were the details pertaining to Brian Paul Shannon last refreshed?

The information related to the Brian Paul Shannon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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