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Dr. Andrew Jason Shannon, DMD
Pediatric Dentist in Vienna, Virginia
NPI 1982825097

Andrew Jason Shannon is a Pediatric Dentist based in Vienna, VA and is specialized in Pediatric Dentistry. Andrew Jason Shannon practices in Vienna, VA and has the professional credentials of DMD. The NPI Number for Andrew Jason Shannon is 1982825097 and holds a License No. 0401411773 (Virginia).

The current practice location address for Andrew Jason Shannon is 301 Maple Ave W, Vienna, VA and can be reached out via phone at 571-230-8915.

Location: 301 Maple Ave W, Vienna, VA, 22180-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982825097
Provider Name
Andrew Jason Shannon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
301 Maple Ave W, Vienna, VA, 22180-4308
Phone Number
571-230-8915
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Maple Ave W
City
Vienna
State
Virginia
Zip
22180-4308
Phone Number
571-230-8915
Fax Number
person
Provider Business Mailing Address Details
Address
301 Maple Ave W
City
Vienna
State
Virginia
Zip
22180-4308
Phone Number
571-230-8915
Fax Number
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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