Individual provider · Type 1 NPI
Michael Timothy Shannon, DMD
Oral and Maxillofacial Surgery (Dentist) · North Andover, MA
NPI number
1649378449
Active
Practice location
203 Turnpike Street, Suite G-2
North Andover, MA 01845
Fax (978) 682-0656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 17705 (MA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in North Andover
About NPI 1649378449
Michael Timothy Shannon, DMD's National Provider Identifier is 1649378449, issued on Sep 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in North Andover, MA. The record was last updated on Jul 8, 2007.