Organization
SHANNA G. BURRESS, DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA G BURRESS DMD (PRACTICE OWNER)
(270) 393-4818
Entity
Organization
Contact information
Practice address
2425 SCOTTSVILLE RD STE 120, BOWLING GREEN, KY 42104-4457
(270) 393-4818
Mailing address
2425 SCOTTSVILLE RD STE 120, BOWLING GREEN, KY 42104-4457
(270) 393-4818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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