Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK A SHANNON, DDS
ActiveDR. JACK A SHANNON, DDS is a Dentist healthcare provider located in TAFT, Oklahoma. NPI 1366746117 is currently active in the NPPES registry. Verify at CMS.
Dentist · TAFT, OK
Registration Details
- NPI Number
- 1366746117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2011 (15.588520168193 yrs)
- Last Updated
- Jan 7, 2011
- License
-
5531 (OK)
Practice Information
- Address
-
601 S 124TH ST. WESTTAFT, OK, 74463Browse OK providers · Browse ZIP 74463
- Phone
- 9186827841
- Fax
- 9186826107
- Primary Specialty
-
Dentist
122300000X
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.