Individual provider · Type 1 NPI
Michael Dean Shannon, D.S.S.
Periodontics · Minot, ND
NPI number
1982787024
Active
Practice location
315 Main St S, Suite 302
Minot, ND 58701-3956
Fax (701) 839-1574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 1854 (ND) |
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.
6 other providers at this address
- Lacey Corneliusen, Licsw, LLCClinical Social Worker Minot, ND NPI 1285064246
- Lacey Corneliusen, Licsw, LLCClinical Social Worker Minot, ND NPI 1861813271
- Janet Lee Maxson, APNP, PhDNurse Practitioner Minot, ND NPI 1851462014
- Jordyn Brown, M.S.Speech-Language Pathologist Minot, ND NPI 1376948356
- Mike Vincent Burckhard, LICSWMental Health Counselor Minot, ND NPI 1104814789
- Rajnikant Liladhar Mehta, MDPhysical Medicine & Rehabilitation Physician Minot, ND NPI 1427043827
About NPI 1982787024
Michael Dean Shannon, D.S.S.'s National Provider Identifier is 1982787024, issued on Oct 23, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Minot, ND. The record was last updated on Jul 8, 2007.