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Aj Shannon Dmd Plc
Pediatric Dentist in Vienna, Virginia
NPI 1962790261

Aj Shannon Dmd Plc is a Pediatric Dentist based in Vienna, VA and is specialized in Pediatric Dentistry. Aj Shannon Dmd Plc practices in Vienna, VA. The NPI Number for Aj Shannon Dmd Plc is 1962790261 and holds a License No. 0401411773 (Virginia).

The current practice location address for Aj Shannon Dmd Plc is 301 Maple Ave W, Vienna, VA and can be reached out via phone at 703-319-8370 and via fax at 703-319-8371. You can also correspond with Aj Shannon Dmd Plc through the mailing address at 301 MAPLE AVE W, VIENNA, VA - 22180-4301 (mailing address contact number: 703-319-8370).

Location: 301 Maple Ave W, Vienna, VA, 22180-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962790261
Provider Name
Aj Shannon Dmd Plc
Credential
Provider Entity Type
Organization
Address
301 Maple Ave W, Vienna, VA, 22180-4301
Phone Number
703-319-8370
Fax Number
703-319-8371
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982825097 05 VA
institution
Provider Business Practice Location Address Details
Address
301 Maple Ave W
City
Vienna
State
Virginia
Zip
22180-4301
Phone Number
703-319-8370
Fax Number
703-319-8371
person
Provider Business Mailing Address Details
Address
301 Maple Ave W
City
Vienna
State
Virginia
Zip
22180-4301
Phone Number
703-319-8370
Fax Number
703-319-8371
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
0401411773 (Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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