Shannon, Patrick

Shannon, Patrick is an individual health care provider with primary practice located at 1692 Massachusetts Ave , Cambridge MA 02138-1878. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Shannon, Patrick can be contacted via phone (617) 864-5444.

Contact Information

Primary practice address
1692 Massachusetts Ave Cambridge MA 02138-1878
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN1855517 Massachusetts

Profile Details

NPI number 1184937682
LBN Legal business name Shannon, Patrick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2010
Last updated Sep 14th, 2016 - about 8 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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