- Practice location
- 120 Mount Hunger Shore RD, Windham, ME 04062-5636
- Phone
- 207-831-6704
- Fax
- —
- Last updated
- March 8, 2019
Shannon Rachel Faxon is a Dental Hygienist based in Windham, ME. Shannon Rachel Faxon practices in Windham, ME. The NPI Number for Shannon Rachel Faxon is 1013475060 and holds a License No. RDH2965 (ME). The current practice location address for Shannon Rachel Faxon is 120 Mount Hunger Shore RD, Windham, ME 04062-5636 and can be reached out via phone at 207-831-6704.
Provider Profile Details
- NPI Number
- 1013475060
- Provider Name
- Shannon Rachel Faxon
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Mount Hunger Shore RD, Windham, ME 04062-5636
- Phone Number
- 207-831-6704
- Primary Taxonomy
- Dental Hygienist · 124Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 8, 2019
- Last Update Date
- March 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Mount Hunger Shore RD
Windham, ME 04062-5636 - City
- Windham
- State
- Maine
- Zip
- 04062-5636
- Phone Number
- 207-831-6704
Provider Business Mailing Address Details
- Address
- 120 Mount Hunger Shore RD
Windham, ME 04062-5636 - City
- Windham
- State
- ME
- Zip
- 04062-5636
- Phone Number
- 207-831-6704
License Information
- License Number
- RDH2965
- License State
- ME
- Taxonomy
- Dental Hygienist · 124Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shannon R Faxon?
The NPI number of Shannon R Faxon is 1013475060. It was assigned on March 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Shannon R Faxon?
Shannon R Faxon is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in ME under license number RDH2965.
Where does Shannon R Faxon practice?
The practice location is 120 Mount Hunger Shore RD, Windham, ME 04062-5636. The office can be reached at 207-831-6704 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013475060 directly on the NPPES registry website.