Individual provider · Type 1 NPI

Kyle Shannon, D.D.S

Orthodontics and Dentofacial Orthopedics Dentistry · Tulsa, OK

NPI number 1780801183 Active

Practice location

3150 E 41st St, Suite 112
Tulsa, OK 74105-3717

Fax (918) 749-5121

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	5410 (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 1780801183

Kyle Shannon, D.D.S's National Provider Identifier is 1780801183, issued on Apr 19, 2007. 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 Jul 8, 2007.