Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DEAN SHANNON, D.S.S.
Active Sole ProprietorDR. MICHAEL DEAN SHANNON, D.S.S. is a Periodontology healthcare provider located in MINOT, North Dakota. NPI 1982787024 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MINOT, ND
Registration Details
- NPI Number
- 1982787024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.834050190895 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1854 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 MAIN ST SSUITE 302MINOT, ND, 587013956Browse ND providers · Browse ZIP 58701
- Phone
- 7018397288
- Fax
- 7018391574
- Primary Specialty
-
Periodontology
1223P0300X
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.