Shanon Black, DDS

NPI #1003549122 in Stillwater, Oklahoma

Provider Information

NPI Number
1003549122
Entity Type
Individual
Name
Shanon Black, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 6, 2022
Last Updated
Jul 6, 2022

Practice Location

Address
316 N MAIN ST STE 1
ZIP Code
74075-5548
Phone
(405) 372-7474

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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