Bland, Shannon
Bland, Shannon is an individual health care provider with primary practice located at 2401 W Dolarway Rd , Ellensburg WA 98926-9309. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bland, Shannon can be contacted via phone (509) 925-6553.Contact Information
Primary practice address
2401 W Dolarway Rd
Ellensburg WA 98926-9309
Phone: (509) 925-6553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 61430752 | Washington |
Profile Details
| NPI number | 1659065753 |
|---|---|
| LBN Legal business name | Bland, Shannon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2023 |
| Last updated | Jun 5th, 2023 - about 2 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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