Individual provider · Type 1 NPI
Jack A. Shannon, DDS
Dentist · Taft, OK
Practice location
601 S 124th St. West
Taft, OK 74463
Fax (918) 682-6107
Mailing address
9807 S 225th East Ave
Broken Arrow, OK 74014-5928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 5531 (OK) |
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…
About NPI 1366746117
Jack A. Shannon, DDS's National Provider Identifier is 1366746117, issued on Jan 7, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Taft, OK. The record was last updated on Jan 7, 2011.