Shannon, Kyle

Shannon, Kyle is an sole proprietor health care provider with primary practice located at 3150 E 41St St Suite 112, Tulsa OK 74105-3717. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Shannon, Kyle can be contacted via phone (918) 743-2321.

Contact Information

Primary practice address
3150 E 41St St Suite 112 Tulsa OK 74105-3717
Fax: (918) 749-5121
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5410 Oklahoma

Profile Details

NPI number 1780801183
LBN Legal business name Shannon, Kyle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 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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