Shannon, Michael Timothy
Shannon, Michael Timothy is an individual health care provider with primary practice located at 203 Turnpike Street Suite G-2, North Andover MA 01845. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Shannon, Michael Timothy can be contacted via phone (978) 682-5255.Contact Information
Primary practice address
203 Turnpike Street Suite G-2
North Andover MA 01845
Phone: (978) 682-5255
Fax: (978) 682-0656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 17705 | Massachusetts |
Profile Details
| NPI number | 1649378449 |
|---|---|
| LBN Legal business name | Shannon, Michael Timothy |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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