Individual provider · Type 1 NPI

Shannon Shannon, DDS

Dentist · Riverside, IL

NPI number 1063620706 Active

Practice location

21 N Delaplaine Rd
Riverside, IL 60546-2022

Fax (708) 447-0654

Mailing address

221 S Catherine Ave
La Grange, IL 60525-2313

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1063620706

Shannon Shannon, DDS's National Provider Identifier is 1063620706, issued on May 18, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Riverside, IL. The record was last updated on Jul 8, 2007.