Individual provider · Type 1 NPI

Shanon Black, DDS

General Practice Dentistry · Stillwater, OK

NPI number 1003549122 Active

Practice location

316 N Main St Ste 1
Stillwater, OK 74075-5548

Mailing address

1208 S Duncan St
Stillwater, OK 74074-4427

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7631 (OK)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1003549122

Shanon Black, DDS's National Provider Identifier is 1003549122, issued on Jul 6, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Stillwater, OK. The record was last updated on Jul 6, 2022.