Shannon Rachel Faxon

NPI #1013475060 in Windham, Maine

Provider Information

NPI Number: 1013475060
Entity Type: Individual
Name: Shannon Rachel Faxon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Mar 8, 2019
Last Updated: Mar 8, 2019

Practice Location

Address: 120 MOUNT HUNGER SHORE RD
City: Windham
State: Maine
ZIP Code: 04062-5636
Phone: (207) 831-6704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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