Blackwood, Michael Shanahan

Blackwood, Michael Shanahan is an sole proprietor health care provider with primary practice located at 10000 Falls Rd Suite 209, Potomac MD 20854-4103. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Blackwood, Michael Shanahan can be contacted via phone (301) 983-1096.

Contact Information

Primary practice address
10000 Falls Rd Suite 209 Potomac MD 20854-4103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0401007606 Virginia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DEN5374 District of Columbia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 11187 Maryland

Profile Details

NPI number 1972735017
LBN Legal business name Blackwood, Michael Shanahan
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2009
Last updated Aug 21st, 2009 - about 16 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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