Anderson, Shannon
Anderson, Shannon is an individual health care provider with primary practice located at 25 Long Creek Dr , South Portland ME 04106-2440. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Anderson, Shannon can be contacted via phone (603) 296-5166.Contact Information
Primary practice address
25 Long Creek Dr
South Portland ME 04106-2440
Phone: (603) 296-5166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | RDH4085 | Maine |
Profile Details
| NPI number | 1962070383 |
|---|---|
| LBN Legal business name | Anderson, Shannon |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2021 |
| Last updated | Jun 13th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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