# MICHAEL E. SHANNON, D.M.D., P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shannon Dental Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952856130
- **Authorized official:** DR. MICHAEL E SHANNON D.M.D. (PRESIDENT)
- **Authorized official phone:** (509) 783-0824

## Contact information

- **Practice address:** 800 N CENTER PKWY, KENNEWICK, WA 99336-7118
- **Practice address phone:** (509) 783-0824
- **Practice address fax:** (509) 783-9136
- **Mailing address:** 800 N CENTER PKWY, KENNEWICK, WA 99336-7118
- **Mailing address phone:** (509) 783-0824
- **Mailing address fax:** (509) 783-9136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00004797 | WA | Yes |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 08/17/2016