De Vera, Shannon
De Vera, Shannon is an individual health care provider with primary practice located at 19077 Champion Forest Dr , Spring TX 77379-8516. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. De Vera, Shannon can be contacted via phone (832) 761-7428.Contact Information
Primary practice address
19077 Champion Forest Dr
Spring TX 77379-8516
Phone: (832) 761-7428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 30480 | Texas |
Profile Details
| NPI number | 1245783323 |
|---|---|
| LBN Legal business name | De Vera, Shannon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2016 |
| Last updated | Mar 29th, 2022 - about 3 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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