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Shannon Green, DDS
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1811550999

Shannon Green is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Shannon Green practices in Buffalo, NY and has the professional credentials of DDS. The NPI Number for Shannon Green is 1811550999 and holds a License No. (New York).

The current practice location address for Shannon Green is 112 Squire Hall, Buffalo, NY and can be reached out via phone at 716-829-6230 and via fax at 716-829-6230.

Location: 112 Squire Hall, Buffalo, NY, 14214-8006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811550999
Provider Name
Shannon Green
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
112 Squire Hall, Buffalo, NY, 14214-8006
Phone Number
716-829-6230
Fax Number
716-829-6230
Provider Enumeration Date
04/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Squire Hall
City
Buffalo
State
New York
Zip
14214-8006
Phone Number
716-829-6230
Fax Number
716-829-6230
person
Provider Business Mailing Address Details
Address
112 Squire Hall
City
Buffalo
State
New York
Zip
14214-8006
Phone Number
716-829-6230
Fax Number
716-829-6230
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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