# SHANNON & HUNTER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Oral Surgery & Dental Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295841757
- **Authorized official:** DR. MICHAEL TIMOTHY SHANNON DMD (ORAL & MAXILLOFACIAL SURGEON PRESID)
- **Authorized official phone:** (978) 682-5255

## Contact information

- **Practice address:** 203 TURNPIKE ST, STE G-2, NORTH ANDOVOR, MA 01845
- **Practice address phone:** (978) 682-5255
- **Practice address fax:** (978) 682-0656
- **Mailing address:** 203 TURNPIKE STREET, SUITE G-2, NORTH ANDOVOR, MA 01845
- **Mailing address phone:** (978) 682-5255
- **Mailing address fax:** (978) 682-0656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020