Jayde D Shannon,, IPH
NPI #1710266317 in Millinocket, Maine
Provider Information
- NPI Number
- 1710266317
- Entity Type
- Individual
- Name
- Jayde D Shannon,, IPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- IPH
- Enumeration Date
- Aug 12, 2011
- Last Updated
- Sep 2, 2016
Practice Location
- Address
- 50 SUMMER ST
- City
- Millinocket
- State
- Maine
- ZIP Code
- 04462-1400
- Phone
- (207) 528-2285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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