Individual provider · Type 1 NPI

Andrew Jason Shannon, DMD

Pediatric Dentistry · Vienna, VA

NPI number 1982825097 Active

Practice location

301 Maple Ave W, Suite 200
Vienna, VA 22180-4308

Call (571) 230-8915 Map

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.

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About NPI 1982825097

Andrew Jason Shannon, DMD's National Provider Identifier is 1982825097, issued on May 2, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Vienna, VA. The record was last updated on Oct 1, 2008.