Green, Shannon Dale
Green, Shannon Dale is an sole proprietor health care provider with primary practice located at 322 Graham St Sw , Cullman AL 35055-5238. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Green, Shannon Dale can be contacted via phone (256) 734-1656.Contact Information
Primary practice address
322 Graham St Sw
Cullman AL 35055-5238
Phone: (256) 734-1656
Fax: (256) 734-1659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4785 | Alabama |
Profile Details
| NPI number | 1205914595 |
|---|---|
| LBN Legal business name | Green, Shannon Dale |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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