| Shannon Candid Co. Ohio, P.a. | |
|
107 S High St Fl 2 Columbus OH 43215-9436 | |
| (702) 738-5334 | |
| Not Available |
| Full Name | Shannon Candid Co. Ohio, P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 107 S High St Fl 2, Columbus, Ohio |
| Authorized Official Name and Position | Thomas Shannon (PRESIDENT) |
| Authorized Official Contact | 7027385334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Candid Co. Ohio, P.a. 107 S High St Fl 2 Columbus OH 43215-9436 Ph: () - | Shannon Candid Co. Ohio, P.a. 107 S High St Fl 2 Columbus OH 43215-9436 Ph: (702) 738-5334 |
| NPI Number | 1386207884 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 04/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386207884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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