Organization
SHANNON ANKENBRANDT,DDS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON WILLIAMS ANKENBRANDT DDS (OWNER)
(636) 219-3963
Entity
Organization
Contact information
Practice address
1041 WOLFRUM RD, WELDON SPRING, MO 63304-7625
(636) 300-4545
(636) 329-0244
Mailing address
1041 WOLFRUM RD, WELDON SPRING, MO 63304-7625
(636) 300-4545
(636) 329-0244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002015114
MO
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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