Shannon, Thomas Patrick

Shannon, Thomas Patrick is an sole proprietor health care provider with primary practice located at 4320 44Th St Sw , Grandville MI 49418-2300. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Shannon, Thomas Patrick can be contacted via phone (616) 534-0550.

Contact Information

Primary practice address
4320 44Th St Sw Grandville MI 49418-2300
Phone: (616) 534-0550
Fax: (616) 534-1334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4469 South Carolina
Dental Providers / General Practice 1223G0001X 2901019565 Michigan
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X S47 Minnesota
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2901019565 Michigan

Profile Details

NPI number 1760644132
LBN Legal business name Shannon, Thomas Patrick
Credentials D.D.S., M.D.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2008
Last updated Aug 22nd, 2015 - about 10 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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