Individual provider · Type 1 NPI

Patrick Shannon, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Tulsa, OK

NPI number 1700020567 Active

Practice location

3150 E 41st St
Tulsa, OK 74105-3717

Fax (918) 749-5121

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	3080 (OK)

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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About NPI 1700020567

Patrick Shannon, DDS's National Provider Identifier is 1700020567, issued on Apr 23, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tulsa, OK. The record was last updated on Apr 23, 2009.