| Shannon Dental Health Center | |
|
800 N Center Pkwy Kennewick WA 99336-7118 | |
| (509) 783-0824 | |
| (509) 783-9136 |
| Full Name | Shannon Dental Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 800 N Center Pkwy, Kennewick, Washington |
| Authorized Official Name and Position | Michael E Shannon (PRESIDENT) |
| Authorized Official Contact | 5097830824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Dental Health Center 800 N Center Pkwy Kennewick WA 99336-7118 Ph: (509) 783-0824 | Shannon Dental Health Center 800 N Center Pkwy Kennewick WA 99336-7118 Ph: (509) 783-0824 |
| NPI Number | 1952856130 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 08/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952856130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00004797 (Washington) | Primary |
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