Shannon, Erin J

Shannon, Erin J is an individual health care provider with primary practice located at 812 State Fair Blvd , Syracuse NY 13209-1312. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shannon, Erin J can be contacted via phone (315) 488-3100.

Contact Information

Primary practice address
812 State Fair Blvd Syracuse NY 13209-1312
Phone: (315) 488-3100
Fax: (315) 488-3400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051664 New York

Profile Details

NPI number 1720145204
LBN Legal business name Shannon, Erin J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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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