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

DR. THOMAS PATRICK SHANNON, D.D.S., M.D.S.

Active Sole Proprietor

DR. THOMAS PATRICK SHANNON, D.D.S., M.D.S. is a Orthodontics healthcare provider located in GRANDVILLE, Michigan. NPI 1760644132 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · GRANDVILLE, MI

Registration Details

NPI Number
1760644132
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2008 (18.096546313559 yrs)
Last Updated
Aug 22, 2015
Licenses
4469 (SC)
2901019565 (MI)
S47 (MN)
2901019565 (MI)
Sole Proprietor
Yes

Practice Information

Address
4320 44TH ST SW
GRANDVILLE, MI, 494182300
Browse MI providers · Browse ZIP 49418
Phone
6165340550
Fax
6165341334
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
General Dentistry
Additional Specialty
Orthodontics
Additional Specialty
Orthodontics

Other Orthodontics Providers in GRANDVILLE, MI

Name Credential NPI
JAMES ALAN KESSEL D.D.S. 1568519973
DR. DAVID O CRAMER DDS,MS,PC 1720113509
DR. JOHN P BOLTHOUSE DDS, MS 1063547008
DR. DANIEL G BOUWENS D.DS., M.S. 1558671743
FELIPE PORTO DDS, MS, MSD 1538464482
DR. JAYNE ALYDA KESSEL DDS 1063048619
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.