Aj Shannon Dmd Plc

LBN: Aj Shannon Dmd Plc
Aj Shannon Dmd Plc is an health care organization with primary practice located at 301 Maple Ave W Suite 200, Vienna VA 22180-4301. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Aj Shannon Dmd Plc can be contacted via phone (703) 319-8370, or through Shannon, Andrew Jason via phone (571) 230-8051.

Contact Information

Primary practice address
301 Maple Ave W Suite 200 Vienna VA 22180-4301
Phone: (703) 319-8370
Fax: (703) 319-8371
Website:
Map and Directions
Authorized official contact:
Name: Shannon, Andrew Jason Doctor of Dental Medicine (DMD)
Phone: (571) 230-8051

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0401411773 Virginia

Profile Details

NPI number 1962790261
LBN Legal business name Aj Shannon Dmd Plc
DBA Doing business as
Authorized official Shannon, Andrew Jason Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2011
Last updated Jul 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962790261 NPPES
Virginia MEDICAID 1982825097

Popular Providers