# JL SHAUGHNESSY DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437235769
- **Authorized official:** MRS. JAMMIE SHAUGHNESSY RDH (OWNER/HYGIENIST)
- **Authorized official phone:** (623) 551-9200

## Contact information

- **Practice address:** 42104 N VENTURE COURT, BLDG E SUITE 103, ANTHEM, AZ 85086
- **Practice address phone:** (623) 551-9200
- **Practice address fax:** (623) 551-9102
- **Mailing address:** 42104 N VENTURE COURT, BLDG E SUITE 103, ANTHEM, AZ 85086
- **Mailing address phone:** (623) 551-9200
- **Mailing address fax:** (623) 551-9102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2006
- **Last updated:** 10/04/2007
