Individual
SHANNON J RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
287 SEQUOYAH RD, ANDERSONVILLE, TN 37705-3617
(865) 356-6578
Mailing address
287 SEQUOYAH RD, ANDERSONVILLE, TN 37705-3617
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000007687
TN
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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