Active NPIIndividual provider

Dr. Michael T Shannon, DMD

Dentist, Oral and Maxillofacial Surgery in North Andover, Massachusetts

NPI Number1649378449
Practice location
203 Turnpike Street, Suite G-2, North Andover, MA 01845
Fax
978-682-0656
Last updated
July 8, 2007

Michael Timothy Shannon is a Dentist, Oral and Maxillofacial Surgery based in North Andover, MA. Michael Timothy Shannon practices in North Andover, MA and has the professional credentials of DMD. The NPI Number for Michael Timothy Shannon is 1649378449 and holds a License No. 17705 (MA). The current practice location address for Michael Timothy Shannon is 203 Turnpike Street, Suite G-2, North Andover, MA 01845 and can be reached out via phone at 978-682-5255 and via fax at 978-682-0656.

Provider Profile Details

NPI Number
1649378449
Provider Name
Michael Timothy Shannon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
203 Turnpike Street, Suite G-2, North Andover, MA 01845
Phone Number
978-682-5255
Fax Number
978-682-0656
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
203 Turnpike Street
Suite G-2
North Andover, MA 01845
Zip
01845
Phone Number
978-682-5255
Fax Number
978-682-0656
North Andover, MA 01845Get directions →

Provider Business Mailing Address Details

Address
203 Turnpike Street
Suite G-2
North Andover, MA 01845
City
North Andover
State
MA
Zip
01845
Phone Number
978-682-5255
Fax Number
978-682-0656

License Information

License Number
17705
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Michael T Shannon, DMD?

The NPI number of Dr. Michael T Shannon, DMD is 1649378449. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael T Shannon, DMD?

Dr. Michael T Shannon, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 17705.

Where does Dr. Michael T Shannon, DMD practice?

The practice location is 203 Turnpike Street, Suite G-2, North Andover, MA 01845. The office can be reached at 978-682-5255 (phone) or 978-682-0656 (fax).

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 1649378449 directly on the NPPES registry website.

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