| M Shannon Daugherty Dmd, Pc | |
|
200 Grove Park Ln Ste 600 Dothan AL 36305-5921 | |
| (334) 699-3636 | |
| Not Available |
| Full Name | M Shannon Daugherty Dmd, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 200 Grove Park Ln Ste 600, Dothan, Alabama |
| Authorized Official Name and Position | Sami Johnson (PRACTICE MANAGER) |
| Authorized Official Contact | 3346993636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Shannon Daugherty Dmd, Pc 200 Grove Park Ln Ste 600 Dothan AL 36305-5921 Ph: (334) 699-3636 | M Shannon Daugherty Dmd, Pc 200 Grove Park Ln Ste 600 Dothan AL 36305-5921 Ph: (334) 699-3636 |
| NPI Number | 1922800929 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 03/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922800929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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