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Individual
DR. SHANNON ELIZABETH NOVAK
Active
Individual
DR. SHANNON ELIZABETH NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20711
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN20711
FL
Other
Enumeration date
05/15/2014
Last updated
11/05/2025
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