| Jack C Shannon Dds Pc | |
|
8065 Club Parkway Suite 2 Cordova TN 38016-5967 | |
| (901) 756-0027 | |
| (901) 756-9715 |
| Full Name | Jack C Shannon Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 8065 Club Parkway, Cordova, Tennessee |
| Authorized Official Name and Position | Jack Canada Shannon (PRESIDENT) |
| Authorized Official Contact | 9017560027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack C Shannon Dds Pc 8065 Club Parkway Suite 2 Cordova TN 38016-5967 Ph: (901) 756-0027 | Jack C Shannon Dds Pc 8065 Club Parkway Suite 2 Cordova TN 38016-5967 Ph: (901) 756-0027 |
| NPI Number | 1588724041 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588724041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS2485 (Tennessee) | Primary |
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