Michael Dean Shannon in Minot - Periodontics

Michael Dean Shannon - NPI 1982787024

Michael Dean Shannon is a Periodontics in Minot, North Dakota. Michael Dean Shannon practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Michael Dean Shannon is 1982787024. The last update date is 2007-07-08.

Michael Dean Shannon's current location address is 315 Main St S, Minot, North Dakota. You can contact this provider via phone number 7018397288 and fax number 7018391574. The mailing address for Michael Dean Shannon is 315 Main St S, Minot, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Dean Shannon
Address 315 Main St S, Minot, North Dakota
Phone Number 7018397288
Fax Number 7018391574
Sole Proprietor Y
Credentials D.S.S.

NPI Number Detail

NPI Number 1982787024
Provider Enumeration Date 2006-10-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 315 Main St S
City Minot
State North Dakota (ND)
Post Code 587013956
Phone Number 7018397288
Fax Number 7018391574

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 1854
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Michael Dean Shannon

What is the Michael Dean Shannon's unique identification number?

The Michael Dean Shannon has been assigned the NPI (National Provider Identifier) Number 1982787024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Michael Dean Shannon is physically located?

The Michael Dean Shannon is physically situated at the following address: 315 Main St S, Minot, ND, 587013956.

What is Michael Dean Shannon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael Dean Shannon is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

When did Michael Dean Shannon receive its 1982787024 assignment?

The Michael Dean Shannon was assigned its 1982787024 on 2006-10-23, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Michael Dean Shannon last refreshed?

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

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