DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON SHANNON, D.D.S.

Active Sole Proprietor

DR. SHANNON SHANNON, D.D.S. is a Dentist healthcare provider located in RIVERSIDE, Illinois. NPI 1063620706 is currently active in the NPPES registry. Verify at CMS.

Dentist · RIVERSIDE, IL

Registration Details

NPI Number
1063620706
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2007 (19.240669471114 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
21 N DELAPLAINE RD
RIVERSIDE, IL, 605462022
Browse IL providers · Browse ZIP 60546
Phone
7084472100
Fax
7084470654
Primary Specialty
Dentist
122300000X

Other Dentist Providers in RIVERSIDE, IL

Name Credential NPI
DR. JAMES MATTHEW SMIGIELSKI D.D.S. 1457566895
DR. FRANK RUDOLPH ORLAND DDS 1346450517
DR. GINA F. ORLAND D.M.D. 1639330525
DR. FRANK WILLIAM LICARI D.D.S. 1124308945
DR. GERALD JOSEPH CIEBIEN DDS 1942648845
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.