Individual provider · Type 1 NPI

Theresa L. Shannon, DDS

General Practice Dentistry · Falls Church, VA

NPI number 1114111671 Active

About NPI 1114111671

Theresa L. Shannon, DDS's National Provider Identifier is 1114111671, issued on Aug 28, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Falls Church, VA. The record was last updated on Aug 28, 2007.