DR. KIMONNIE SHANNON, DDS
Dentist - General Practice
Active
Individual
NPI: 1649243460
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 3255-03 (MS) |
| Dentist - General Practice | 1223G0001X | Yes | 5483 (AL) |
Frequently Asked Questions
NPI 1649243460 is the National Provider Identifier for DR. KIMONNIE SHANNON, DDS, a Dentist - General Practice provider located in Clanton, AL. This NPI was enumerated on February 10, 2006.
DR. KIMONNIE SHANNON, DDS practices at 1141 JASPER DENNIS RD, Clanton, AL 35045.
Quick Facts
- NPI
- 1649243460
- Type
- Individual
- Enumerated
- Feb 10, 2006
- Last Updated
- Apr 25, 2017
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