Individual provider · Type 1 NPI

Michael A. Shannon, DDS, M.S.

Pediatric Dentistry · Bakersfield, CA

NPI number 1316168693 Active

Practice location

1601 Mill Rock Way
Bakersfield, CA 93311-1315

Mailing address

206 Calle Potranca
San Clemente, CA 92672-4552

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X54956 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1316168693

Michael A. Shannon, DDS, M.S.'s National Provider Identifier is 1316168693, issued on May 2, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bakersfield, CA. The record was last updated on Jul 8, 2007.