DR. Michael Dean Shannon, D.S.S.
NPI #1982787024 in Minot, North Dakota
Provider Information
- NPI Number
- 1982787024
- Entity Type
- Individual
- Name
- DR. Michael Dean Shannon, D.S.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.S.S.
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 315 MAIN ST S
- Address 2
- SUITE 302
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-3956
- Phone
- (701) 839-7288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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