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Shanon Black, DDS
General Practice Dentistry in Stillwater, Oklahoma
NPI 1003549122

Shanon Black is a General Practice Dentistry based in Stillwater, OK and is specialized in General Practice. Shanon Black practices in Stillwater, OK and has the professional credentials of DDS. The NPI Number for Shanon Black is 1003549122 and holds a License No. 7631 (Oklahoma).

The current practice location address for Shanon Black is 316 N Main St Ste 1, Stillwater, OK and can be reached out via phone at 405-372-7474.

Location: 316 N Main St Ste 1, Stillwater, OK, 74074-4427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003549122
Provider Name
Shanon Black
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
316 N Main St Ste 1, Stillwater, OK, 74074-4427
Phone Number
405-372-7474
Fax Number
Provider Enumeration Date
07/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
316 N Main St Ste 1
City
Stillwater
State
Oklahoma
Zip
74075-5548
Phone Number
405-372-7474
Fax Number
person
Provider Business Mailing Address Details
Address
316 N Main St Ste 1
City
Stillwater
State
Oklahoma
Zip
74075-5548
Phone Number
405-372-7474
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7631 (Oklahoma)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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