Individual provider · Type 1 NPI
Ken Shanahan, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Napa, CA
Practice location
3434 Villa Ln, Suite 110
Napa, CA 94558-6405
Fax (707) 255-8172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 57940 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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- Ralph William Moore Jr., DDSOrthodontics and Dentofacial Orthopedics Dentistry Napa, CA NPI 1992928519
About NPI 1174808067
Ken Shanahan, DDS, M.S.'s National Provider Identifier is 1174808067, issued on Oct 11, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Napa, CA. The record was last updated on Feb 13, 2012.