# DR. OWEN SHANNON LONERGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124349212
- **Gender:** Man
- **Credential:** MPH, DMD, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2011008413 | MO | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2011008413 | MO | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 390200000X | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 62200 | KS | — |

## Other

- **Enumeration date:** 06/12/2010
- **Last updated:** 05/04/2026