Organization · Type 2 NPI

Aj Shannon DMD PLC

Pediatric Dentistry · Vienna, VA

NPI number 1962790261 Active

Practice location

301 Maple Ave W, Suite 200
Vienna, VA 22180-4301

Fax (703) 319-8371

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0401411773 (VA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

14 other providers at this address

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About NPI 1962790261

Aj Shannon DMD PLC's National Provider Identifier is 1962790261, issued on Jul 20, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Vienna, VA. The record was last updated on Jul 20, 2011.