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 |
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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 |
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Provider Enumeration Date | 2006-06-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 130 C Granite Street |
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City | Westerly |
State | Rhode Island (RI) |
Post Code | 2891 |
Phone Number | 4015968720 |
Fax Number | 4015965403 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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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. |
Post Comment/ Review Below
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.