Individual provider · Type 1 NPI

Shannon Brooke McTaggart, DMD

Student in an Organized Health Care Education/Training Program · Jersey City, NJ

NPI number 1033905914 Active

Practice location

418 Summit Ave
Jersey City, NJ 07306-3101

Call (201) 499-1969 Map

Mailing address

455 Norland Dr
Downingtown, PA 19335-4960

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033905914

Shannon Brooke McTaggart, DMD's National Provider Identifier is 1033905914, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jersey City, NJ. The record was last updated on Apr 16, 2025.