Individual
DR. TIMOTHY G. SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
4330 JOHNS CREEK PKWY STE 500, SUWANEE, GA 30024
(770) 495-9550
(770) 495-9599
Mailing address
4330 JOHNS CREEK PKWY STE 500, SUWANEE, GA 30024-6120
(770) 495-9590
(770) 495-9599
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN009973
GA
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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