Individual provider · Type 1 NPI

Thomas R. Shannon, DDS

Periodontics · Westwood, NJ

NPI number 1780698845 Active

Practice location

354 Old Hook Rd, Suite 201
Westwood, NJ 07675-3246

Fax (201) 664-0912

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XTRS-9532 (NJ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1780698845

Thomas R. Shannon, DDS's National Provider Identifier is 1780698845, issued on Jul 27, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Westwood, NJ. The record was last updated on Jul 8, 2007.