Rayanne F Shannon in Minot - Oral And Maxillofacial Surgery

Rayanne F Shannon - NPI 1124063250

Rayanne F Shannon is a Oral And Maxillofacial Surgery in Minot, North Dakota. Rayanne F Shannon practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Rayanne F Shannon is 1124063250. The last update date is 2010-12-14.

Rayanne F Shannon's current location address is 2615 Elk Dr, Minot, North Dakota. You can contact this provider via phone number 7018523421 and fax number 7018381842. The mailing address for Rayanne F Shannon is 2615 Elk Dr, Minot, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Rayanne F Shannon
Address 2615 Elk Dr, Minot, North Dakota
Phone Number 7018523421
Fax Number 7018381842
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1124063250
Provider Enumeration Date 2006-06-20
Last Updated Date 2010-12-14

Provider Mailing Address Detail

Address 2615 Elk Dr
City Minot
State North Dakota (ND)
Post Code 587011200
Phone Number 7018523421
Fax Number 7018381842

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 1855
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1855 ND DENTAL LICENSE
41251 ND --

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FAQs about Rayanne F Shannon

What is the unique 10-digit identifier code issued to Rayanne F Shannon by the Centers for Medicare & Medicaid Services?

The Rayanne F Shannon has been assigned the NPI (National Provider Identifier) 1124063250 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Rayanne F Shannon is physically located?

The Rayanne F Shannon is physically situated at the following address: 2615 Elk Dr, Minot, ND, 587011200.

What is Rayanne F Shannon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Rayanne F Shannon is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Rayanne F Shannon receive the assignment of its 1124063250 from the Centers for Medicare & Medicaid Services?

The Rayanne F Shannon was issued its 1124063250 by the Centers for Medicare & Medicaid Services on 2006-06-20.

As of what date were the Rayanne F Shannon's details last updated?

The information pertaining to the Rayanne F Shannon, including its address, specialty, and other details, was most recently updated on 2010-12-14.

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