Individual
SHANNON SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7802 TIMBERLAKE RD, LYNCHBURG, VA 24502-2602
(434) 239-6948
Mailing address
7802 TIMBERLAKE RD, LYNCHBURG, VA 24502-2602
(434) 239-6948
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401412529
VA
1223P0221X
Pediatric Dentistry
DS038620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008214166
—
VA
01
—
15487
DORAL
VA
Enumeration date
06/17/2009
Last updated
05/31/2013
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