Female

Dr. Michael J. Shannon DDS

Prosthodontist in Baton Rouge, LA(View on Map)

Full Name

Dr. Michael Joseph Shannon DDS

NPI Number

1912103946

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/26/2007

Specialties

(Taxonomies)

Code

1223P0700X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

5277

Contact
Information

Purpose

Mailing
Location

Address

13360 COURSEY BLVD STE D
13360 COURSEY BLVD STE D

City

Baton Rouge
Baton Rouge

State

LA
LA

Postal Code

70816-4970
70816-5024

Country

US
US

Telephone Number

(225) 752-1252
(225) 752-1252

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/20/2024

Provider Address

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