Organization
PERIODONTAL SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CHARLES SHANNON DMD (PERIODONTIST)
(508) 520-0400
Entity
Organization
Contact information
Practice address
38 POND ST STE 207, FRANKLIN, MA 02038-3823
(508) 520-0400
Mailing address
76 SCHOOL ST, HOPKINTON, MA 01748-2167
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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