Organization
SHANNON & HUNTER PC
Active
Other names
Northeast Oral Surgery & Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TIMOTHY SHANNON DMD (ORAL & MAXILLOFACIAL SURGEON PRESID)
(978) 682-5255
Entity
Organization
Contact information
Practice address
203 TURNPIKE ST, STE G-2, NORTH ANDOVOR, MA 01845
(978) 682-5255
(978) 682-0656
Mailing address
203 TURNPIKE STREET, SUITE G-2, NORTH ANDOVOR, MA 01845
(978) 682-5255
(978) 682-0656
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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