Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON BROCK WILSON, DMD
ActiveDR. SHANNON BROCK WILSON, DMD is a Dentist healthcare provider located in HONEA PATH, South Carolina. NPI 1477681146 is currently active in the NPPES registry. Verify at CMS.
Dentist · HONEA PATH, SC
Registration Details
- NPI Number
- 1477681146
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2007 (19.432296682334 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3886 (SC)
Practice Information
- Address
-
19 SHIRMADON DRHONEA PATH, SC, 296541533Browse SC providers · Browse ZIP 29654
- Phone
- 8643692966
- Fax
- 8643690666
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in HONEA PATH, SC
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID RICE BOYD | DMD | 1972665404 |
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.